tci Outpatient Facility Coding Alert - 2014 Issue 10

Reader Question: Arthrocentesis, Aspiration and Injection Can Sometimes Bundle Into One Code

Question: If our physician is performing an arthrocentesis procedure and injects a steroid during the same session, can both the procedures be separately reported? If so, what codes should be used to report each procedure? Michigan Subscriber Answer: An arthrocentesis procedure will involve your physician inserting a needle into a joint and aspirating fluid from the joint. Sometimes, he might inject some medication during the same procedure.  Depending on the type of joint on which your clinician performed the procedure, you have three options to report from: 20600 (Arthrocentesis, aspiration and/or injection; small joint or bursa [e.g...

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