Anesthesia Coding Alert

Question: What code should we submit for atlantoaxial arthrogram?

Oregon Subscriber

Answer: CPT includes arthrography codes for joints (ankle, elbow, hip, knee, sacroiliac, shoulder, temporomandibular, and wrist), but not other sites. For an atlantoaxial arthrogram, report 76499 (Unlisted diagnostic radiographic procedure) with supporting documentation.

Comparison: Because you're reporting an unlisted procedure code, remember to compare it to a specific CPT code for reimbursement purposes. Code 72275 (Epidurography, radiological supervision and interpretation) is a good comparison, with 2.79 relative value units (RVUs).

For the injection itself, report 20600 (Arthrocentesis, aspiration and/or injection; small joint or bursa [e.g., fingers, toes]).