AMA Clinical Examples in Radiology - 2021 Issue 2 (Spring)

 Ultrasound Barbotage of the Shoulder

RADIOLOGY TEST CASE ANSWER Ultrasound Barbotage of the Shoulder HOW TO CODE 20551 Injection(s); single tendon origin/insertion 20611 59 Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting M75.31 Calcific tendinitis of right shoulder DISCUSSION The report describes an ultrasound barbotage of the right shoulder, which involves ultrasound-guided placement of a needle into the targeted calcified deposits, followed by alternating injection and aspiration of fluid (usually a mixture of saline and local anesthetic) to break up and facilitate the removal of the calcium deposits. Following...

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