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Coding Strategies: Mark These Changes To Refine Your Arthrocentesis Reporting

Posted on 08. Jul, 2015 by in Hot Coding Topics

Confirm if any ultrasound guidance was used.

Remember how three new codes joined revised codes in the family of ultrasound guided arthrocentesis of small, intermediate, and large joints in January? The previously existing codes, 20600, 20605 and 20610, now include the phrase “without ultrasound guidance” and each is partnered with a new code (20604, 20606, and 20611) with the descriptor, “with ultrasound guidance, with permanent recording and reporting.” The changes are as follows:

  • 20600 – Revised (Arthrocentesis, aspiration and/or injection, small joint or bursa [e.g., fingers, toes]; without ultrasound guidance)
  • 20604 – Code added (with ultrasound guidance, with permanent recording and reporting)
  • 20605 – Revised (Arthrocentesis, aspiration and/or injection, intermediate joint or bursa [e.g., temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa]; without ultrasound guidance)
  • 20606 – Code added (with ultrasound guidance, with permanent recording and reporting)

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