tci Outpatient Facility Coding Alert - 2019 Issue Q4
You Be the Coder: Discern Between Arthrogram, Therapeutic Injection With Examples
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Article Overview
This radiology-focused article helps coders understand the difference between a diagnostic arthrogram and a therapeutic joint injection when fluoroscopy, contrast, local anesthetic, and injected medications appear in the record. It is aimed at coding professionals who review musculoskeletal imaging and injection documentation and want to recognize the general documentation elements involved in reporting these services.
Why This Topic Matters
Misclassifying a diagnostic arthrogram as a therapeutic injection, or vice versa, can lead to incorrect coding of common joint procedures in radiology. The article highlights why careful review of the procedure note and the original order matters for accurate service identification.
What You Will Learn
- How to distinguish diagnostic joint imaging from therapeutic joint injection documentation
- Which documentation elements suggest a joint injection service versus an arthrographic study
- Why fluoroscopic guidance and contrast administration may appear in both types of records
- What kinds of supporting documentation to review when evaluating the service performed
Who Should Read This
- Professional coders
- Radiology coders
- Billing staff
- Coding auditors
Codes Discussed
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