icd 9 code for arthrocentesis

What is the CPT code for arthrocentesis?

The CPT codes for arthrocentesis aspiration or injection procedures are 20600-20611. Accurate reimbursement depends on reporting the services provided using all the appropriate code sets and modifiers. Arthrocentesis CPT codes are categorized based on joint or bursa, and whether ultrasound guidance is performed:

What is the ICD 10 code for arthrodesis?

Arthrodesis status 1 Z98.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2020 edition of ICD-10-CM Z98.1 became effective on October 1, 2019. 3 This is the American ICD-10-CM version of Z98.1 - other international versions of ICD-10 Z98.1 may differ.

What is the CPT code for hip joint manipulation?

Code 27275 for the Manipulation of the Hip Joint under general anesthesia, which may be performed in the same case with a Hip Joint Injection (code 20610). The G-code and 27096 codes are for use billing SI Joint Injections performed with radiologic guidance.

What is the CPT code for aspiration of a ganglion cyst?

CPT® also provides codes for aspiration and/or injection into a ganglion cyst or for treatment of a bone cyst. For 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.

What is the CPT code for arthrocentesis?

CPT® codes for these procedures are 20600-20615 .#N#CPT® categorizes the codes based on the type of joint or bursa, and whether ultrasound guidance is performed. Report arthrocentesis, aspiration, or injection on:#N#Small joints or bursa — such as the fingers or toes — using 20600 Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance, or 20604 Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting.#N#Intermediate joints or bursa — such as temporomandibular, acromioclavicular, wrist, elbow, ankle or olecranon bursa — using 20605 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance, or 20606 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting.#N#Major joints or bursa — such as the shoulder, hip, knee, or subacromial bursa — using 20610 Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance, or 20611 Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting.#N#Per CPT® guidance, do not report 20600, 20604, 20605, and 20606 with 76942 Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation. Also, do not report 20610 and 20611 with 27370 Injection of contrast for knee arthrography or 76942. If fluoroscopic, computed tomography (CT), or magnetic resonance imaging (MRI) guidance is performed, also report the appropriate radiology code, such as:#N#+77002 Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)#N#77012 Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation#N#77021 Magnetic resonance guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation

What is CPT code 20610?

For example, 20610 specifies “arthrocentesis, aspiration, and/or injection of a major joint or bursa.” Per CPT® guidance, if an aspiration is performed on a major joint/bursa, and an injection is performed immediately following the aspiration on the same major joint/bursa, report 20610 one time. If the procedure is performed on multiple joints, report separate codes for each joint. If medication is injected, report the appropriate HCPCS Level II J code.#N#You may separately report an evaluation and management (E/M) service with the arthrocentesis, aspiration, or injection codes, provided the service is significant and separately identifiable from the procedure. You must append modifier 25 Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service to the appropriate E/M service code.#N#For example, an established patient presents to the office for evaluation of left knee pain and other complaints, such as systemic sclerosis. The provider performs a detailed history and exam with medical decision-making of moderate complexity. The provider performs an aspiration of the left knee and orders a complete transthoracic echo for the systemic sclerosis. This should be reported:#N#99214-25 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity.#N#If the patient reports to the office strictly for the aspiration, arthrocentesis, or injection procedure, you typically will not report a separate E/M service.

When did the coding change for arthrocentesis?

As of January 1, 2015, there is a coding change to the arthrocentesis injection codes (20600 – 20611). The codes are now separated to reflect an injection/aspiration with or without ultrasound guidance. The coding corner below will demonstrate an example of this change.

What is CPT code for bursa arthrocentesis?

For example, when a small joint or bursa arthrocentesis, aspiration and/or injection (CPT code 20600) is performed, anesthesia may be provided by the surgeon using a digital nerve block (CPT code 64450). Because this type of anesthesia provided by the surgeon performing the procedure is not separately payable, CPT code 64450 is bundled into CPT code 20600 when the same physician performs both procedures.

What is the code for a hip arthrectomy?

Use code 20610 for an Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa). Use this code if an SI Joint Injection is done without any imaging (instead of 27096 or G0260)

What is CPT code 25115?

For example, CPT code 25115 describes a radical excision of a bursa or synovia of the wrist. It is standard surgical practice to preserve neurologic function by isolating and freeing nerves as necessary. A neuroplasty (e.g. CPT code 64719) should not be reported separately for this process. Therefore, CPT code 64719 is bundled into CPT code 25115.

Is a surgical arthroscopy billable?

Procedure code guidelines are that if a surgical arthroscopy is performed on the same joint when a Joint Manipulation and/or Joint Injection are performed in the same case, only the scope procedure is billable.

Is arthrocentesis covered by Medicare?

Arthrocentesis, aspiration and/or injection (20600, 20605, 20610) is a covered service under the Medicare program when performed by a physician/ non-physician practitioner ( NPP) in compliance with state laws, within their scope of practice/training and within the accepted standards of medical practice.