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CPT code - , , - ICD - Billing Guide | Radiology billing codes, services
AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over , professionals. We'll email you a link to our Healthcare Salary Survey when it is available so you can see your earning potential. Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue.
Please note that the opinions expressed here do not necessarily reflect those of AAPC. Membership Membership Join Recognition Program. Results 1 to 9 of 9. In an ASC setting am I correct in coding the following procedure with ? The patient was brought to the procedure room and placed supine on the OR table.
The right hip position was verified with the C-arm. The hip was prepped and draped in a routine fashion. A skin wheal was raised for anesthesia and a 22G needle inserted into the hip joint.
The position was verified with an arthrogram. Depo-Medrol 1 cc and 1 cc Lidocaine was then introduced into the hip. The needle was withdrawn. A sterile dressing was applied. She was transferred to the cart and sent back to the recovery room to be dismissed. Thanks for any assistance.
I have been working in an ASC for over 4 years and i am currently taking courses in coding. To my knowledge, coding this hip injection when performed in an ASC shold be a , not a Medicare, however, does not cover this procedure when performed in an ASC, if this is a Medicare patient. I think the note looks like the shoulder "arthrogram" and steroid description previous post. Although the arthogram was noted to be performed that does not mean it was for the purpose of billing for athrogram and could be considered a steroid injection under There is not intent at documenting the interpretation for diagnostic purposes.
I agree with you. That's the way I was looking at it and feel is the correct code. Just wanted to confirm with another person. Have a great day! Hip Arthrography A frequently asked question page 11 in the February CPT Assistant newsletter inadvertently provided misleading instruction related to the reporting of a hip arthrography study.
How is a small injection of contrast into the hip under fluoroscopic guidance reported when performed to confirm needle tip placement prior to the injection of steroids or an anesthetic? When a small amount of contrast is injected into the hip under fluoroscopic guidance to ensure proper needle location before administering an anesthetic or steroid injection, it is appropriate to submit code , Fluoroscopic guidance for needle placement eg, biopsy, aspiration, injection, localization device , to report the fluoroscopic imaging performed.
Fluoroscopic guidance is the radiologic technique by which the images are produced. As stated in the descriptor nomenclature, code is used to describe fluoroscopic guidance for all types of needle placement, such as for biopsy, aspiration, injection, or placement of a localization device. To further clarify, Hip injection of an anesthetic or steroid under fluoroscopic guidance should not be confused with hip arthrography. When a conventional radiographic hip arthrogram is performed, it is reported with an arthrography injection code code , Injection procedure for hip arthrography; without anesthesia, or code , Injection procedure for hip arthrography; with anesthesia , and the arthrography imaging code , Radiologic examination, hip, arthrography, radiological supervision and interpretation.
The key is not the actual volume of contrast injected, but the intention. If the contrast is injected only to confirm needle position within the joint, the quantity does not matter. If instead the contrast is injected with the intention to outline the joint surface to perform a radiographic arthrogram, then it is an arthrogram even if only a few cc's of contrast material are injected. Again, it is not the volume of contrast but the intention that defines the service.
Location Columbia, MO Posts 12, Originally Posted by bbwixler. To take this one step further, if this procedure is done under general anesthesia, what code should be used to bill the procedure? If the hip joint injection is done under general anesthesia, it would be for supine positioning for anesthesia personel billing and is not differed by level of sedation adminstered such as how some "with general anesthesia" codes might have separate companion code for without anesthesia.
Epidural steroid injection By nasaga in forum Anesthesia. Steroid Injection By grothrock in forum Family Practice. What is Medical Auditing? All times are GMT The time now is