tci Outpatient Facility Coding Alert - 2018 Issue 9

Reader Question: Refer to OPPS, ASC Addendums Before Billing Aspiration Drug Codes

Question: I am struggling to code this knee injection report. The physician documents “right knee was infiltrated into the subcutaneous soft tissues for local anesthesia. Under fluoroscopic guidance, a 22-gauge 7 cm needle was advanced into the right knee joint. Kenalog 80 mg in 2 ml and Bupivacaine 0.25% 6 ml was injected.” New Jersey Subscriber Answer: To report the knee injection, you should look no further than code 20610 (Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance). Remember that fluoroscopic guidance and ultrasound guidance are two...

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