tci Outpatient Facility Coding Alert - 2019 Issue Q4

You Be the Coder: Discern Between Arthrogram, Therapeutic Injection With Examples

Question: What’s the difference between a radiographic arthrogram and a therapeutic injection if the provider performs both under fluoroscopic guidance? South Carolina Subscriber Answer: One of the more commonly miscoded procedures in the radiology specialty involves coders misinterpreting a therapeutic injection for an arthrogram study. Simply put, if the radiologist is injecting a steroid or anesthetic into the joint under fluoroscopic guidance, you’re not going to report the service as an arthrogram. Rather, the provider performs an arthrogram in order to visualize the joint using contrast. An arthrogram is an inherently diagnostic procedure. Coder’s note: Just...

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