tci Part B Insider - 2015 Issue 11

Reader Question: New Joint Injection Codes Carry Specific Guidance Rules

Question: The new joint injection codes 20604, 20606, and 20611 specify an injection with ultrasound guidance. The other options (20600, 20605, and 20610) specify joint injections with no imaging. Which code do we choose if the provider uses fluoroscopy? Nevada Subscriber Answer:You should report 77002 (Fluoroscopic guidance for needle placement [e.g., biopsy, aspiration, injection, localization device]) with any of the injection codes:  20600 – Arthrocentesis, aspiration and/or injection,small joint or bursa (e.g., fingers, toes); without ultrasound guidance  20605 – Arthrocentesis, aspiration and/or injection,intermediate joint or bursa (e.g., temporomandibular,acromioclavicular, wrist, elbow or...

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