Patient presents for ultrasound (US) guided injection in the left carpometacarpal joint for pain due to osteoarthritis and a corticosteroid ultrasound (US) guided injection in the right sacroiliac (SI) joint for chronic pain. We want to report CPT codes 20604 or 20606, 20552 and 76942. However, the codes are considered bundled. Based on NCCI guidance the radiologic codes (76942, 77002, 77003, 77012, 77021) for needle placement only allows one unit of any of these codes to be reported at a patient encounter. The ultrasound guidance is included in code 20604 or 20606, but not in 20552. Can 76942 be separately reported with code 20552 in this case? What are the correct codes for the injections administered with ultrasound guidance?
Assign CPT code 20606, Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (e.g., temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting, for the CMC joint injection, and CPT code 20552, Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s), for the injection into the sacroiliac joint. CPT code 76942, Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation, would be reported for the ultrasound guidance.