How do you bill for an arthrogram?
For magnetic resonance arthrography of any lower-extremity joint (eg, the hip or knee), CPT code 73722 (magnetic resonance [eg, proton] imaging, any joint of lower extremity; with contrast material[s]) or 73723 (magnetic resonance [eg, proton] imaging, any joint of lower extremity; without contrast material[s].
How do you code an arthrogram?
Injection of contrast into a joint for magnetic resonance imaging (MRI) without a diagnostic radiographic arthrogram should not be reported with code 20610. Instead, assign the appropriate arthrogram injection code such as 23350. If fluoroscopy is used to guide the injection, add code 77002.
What does CPT code 20610 mean?
Arthrocentesis, aspiration
Arthrocentesis, aspiration, and/or injection of a joint or bursa is performed. Use 20610 for a major joint or bursa, such as the shoulder, knee, or hip joint, or the subacromial bursa when no ultrasound guidance is used for needle placement.
Can 20610 and 77002 be billed together?
You may report the injection 20610 and the fluoroscopic guidance using CPT 77002 (Fluoroscopic guidance for needle placement).
What is arthrography used for?
Arthrography is a type of imaging test used to look at a joint, such as the shoulder, knee, or hip. It may be done if standard X-rays do not show the needed details of the joint structure and function.
Is an arthrogram and MRI?
An Arthrogram uses fluoroscopy and an MRI to specifically diagnoses injuries in the joint structures that an MRI alone would likely miss. MRIs can be ordered with contrast that is delivered intravenously, while an Arthrogram has contrast needle-guided directly into the injured joint.
What is the CPT code for osteoarthritis?
Generalized osteoarthritis (code 715.0x or 715.8x) affects many joints, while localized osteoarthritis affects the joints of one site.
What is CPT code for knee osteoarthritis?
2022 ICD-10-CM Diagnosis Code M17. 9: Osteoarthritis of knee, unspecified.
Is arthrography painful?
While the arthrography procedure itself causes no pain, having to move or hold the joint still in certain positions might cause some discomfort or pain, particularly if you’ve recently had surgery or a joint injury.
What is the difference between arthrography and arthroscopy?
Whereas the arthrogram reproduces a black-and-white, two-dimensional picture of a spatial structure (an indirect procedure), arthroscopy provides a colored picture facilitating a three-dimensional assessment of the joint cavity, palpation, and the arthroscopic operation.
Can you code with arthritis?
Whereas “Osteoarthritis” involves the bones, “Arthritis” does not. Unspecified arthritis should no be coded as Osteoarthritis unless documented as such.
What are the CPT code guidelines for arthrograms?
CPT Code Guidelines Arthrogram Shoulder Arthrogram 23350 & 73040 X-ray Shoulder Arthrogram 23350 & 73222 MRI Shoulder Arthrogram 23350 & 73201 CT Shoulder Arthrogram 77002 Fluoro Guided Hip Arthrogram 73525 X-ray Hip Arthrogram 73722 MRI Hip Arthrogram 73701 CT Hip Arthrogram
When to use code 77002 for shoulder arthrogram?
Code 77002 Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) is used instead of 73040 when fluoroscopic guidance is used to inject the joint and a spot film is taken to verify contrast within the joint.
What is the code for SI joint arthrography?
Procedure code 27096 represents a unilateral procedure. If bilateral SI joint arthrography is performed, 27096 should be reported with a –50 modifier. 5. A SI joint injection (27096) is not a stand-alone code and one of the following codes should be billed in conjunction with this code:
Do you need to report a shoulder arthrogram?
You may also report the fluoroscopic guidance of the injection – but only if a plain film arthrogram is not performed or reported. First, choose the appropriate intra-articular injection. For a shoulder arthrogram, report 23350 (Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography).