M67. 40 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M67.
The correct CPT code for the aspiration of a ganglion cyst is 20612. The aspiration technique is identical to the fine needle aspiration for biopsy. If you are aspirating the cyst, you are already removing fluid that can be sent for analysis.
Procedure codes 10060 and 10061 represent incision and drainage of an abscess involving the skin, subcutaneous and/or accessory structures.
20612For a ganglion cyst treatment, report 20612 Aspiration and/or injection of ganglion cyst(s) any location, regardless of the location. For multiple ganglion cysts, report 20612 and append modifier 59 Distinct procedural service. For bone cyst treatment, report 20615 Aspiration and injection for treatment of bone cyst.
Fluid aspiration is a medical procedure where doctors use a needle to drain the fluid from a ganglion cyst. This type of cyst often forms in the joints of your wrist or hand. Ganglion cysts are usually benign and not harmful. They can put pressure on the nerves, cause pain and limit movement in the affected joint.
Code Description: 20612 (Aspiration and/or injection of ganglion cyst(s) any location).
Article - Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures (A56766)
An incision (not just a puncture) is performed, and the abscess is left open to drain and heal. A complicated I&D 10061 would usually require one or more of the following: multiple incisions, probing to break up loculations, extensive packing, drain placements, and wound closure.
Incision and drainage and clinical lancing are minor surgical procedures to release pus or pressure built up under the skin, such as from an abscess, boil, or infected paranasal sinus.
CPT code 10080 is used for a simple incision and drainage with local wound care to facilitate healing. And CPT code 10081 for a complicated incision and drainage which includes placement of a drain or packing with gauze. For percutaneous aspiration of abscess, hematoma, bulla or cyst, procedure code 10160 is used.
No to both questions. CPT code 10060 includes incision and drainage, and you stated no incision was made. CPT code 10160 includes puncture and aspiration, and you stated no aspiration was made. The puncture as indicated in your scenario above would be part of the E/M service performed for the patient at that encounter.
For example, there is a considerable difference in reimbursement between CPT codes 10060 and 26010. According to the Medicare Physician Fee Schedule (MPFS), average reimbursement for code 10060 is $121.68, while the average reimbursement for code 26010 is $272.88.
Group 1CodeDescription20526INJECTION, THERAPEUTIC (EG, LOCAL ANESTHETIC, CORTICOSTEROID), CARPAL TUNNEL20527INJECTION, ENZYME (EG, COLLAGENASE), PALMAR FASCIAL CORD (IE, DUPUYTREN'S CONTRACTURE)20550INJECTION(S); SINGLE TENDON SHEATH, OR LIGAMENT, APONEUROSIS (EG, PLANTAR "FASCIA")6 more rows
20605 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance.
A: The codes are CPT 10021 Fine needle aspiration; without imaging guidance and CPT 10022 Fine needle aspiration; with imaging guidance.
Group 1CodeDescription20610ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT OR BURSA (EG, SHOULDER, HIP, KNEE, SUBACROMIAL BURSA); WITHOUT ULTRASOUND GUIDANCE1 more row