dyoungberg
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In an ASC setting Dr performed the following procedure:
POSTPROCEDURE DIAGNOSIS:SYNOVITIS AND DEGENERATIVE ARTHRITIS, RIGHT HIP
PROCEDURE:ASPIRATION AND INJECTION UNDER FLUOROSCOPY, RIGHT HIP
DESCRIPTION OF PROCEDURE: Under adequate local anesthesia with 1% Lidocaine, the anterior hip was prepped and an #18 gauge spinal needle was introduced into the hip joint anteriorly. Aspiration was negative. Intraarticular position of the needle tip was confirmed with air arthrography. The hip joint was injected with 8 cc of 0.5% plain Marcaine and 40 mg of Depo-Medrol. The needle was withdrawn, a dressing was applied, and the patient discharge to be followed in the office.
Normally I would code this as 20610 & 27093, however the procedure doesn't state the doctor injected dye which would make me think I shouldn't bill the 27093.
I'd appreciate any thoughts on this.
Thanks!
Debbie
Billing Representative
NW Fl Surgery Center
POSTPROCEDURE DIAGNOSIS:SYNOVITIS AND DEGENERATIVE ARTHRITIS, RIGHT HIP
PROCEDURE:ASPIRATION AND INJECTION UNDER FLUOROSCOPY, RIGHT HIP
DESCRIPTION OF PROCEDURE: Under adequate local anesthesia with 1% Lidocaine, the anterior hip was prepped and an #18 gauge spinal needle was introduced into the hip joint anteriorly. Aspiration was negative. Intraarticular position of the needle tip was confirmed with air arthrography. The hip joint was injected with 8 cc of 0.5% plain Marcaine and 40 mg of Depo-Medrol. The needle was withdrawn, a dressing was applied, and the patient discharge to be followed in the office.
Normally I would code this as 20610 & 27093, however the procedure doesn't state the doctor injected dye which would make me think I shouldn't bill the 27093.
I'd appreciate any thoughts on this.
Thanks!
Debbie
Billing Representative
NW Fl Surgery Center