Wiki Diagnostic Ultrasound leading to an injection with ultrasound

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Hello,

We have a new provider that utilizes ultrasound. She performed a limited diagnostic ultrasound on a patient and found tendinopathy, possible tear and bursitis. At the same encounter, she performed a injection of the gluteus medius using ultrasound guidance. My question is, can I code the diagnostic ultrasound and the injection separately? TIA

INDICATIONS: Lateral hip pain, gluteus medius tendinopathy,

PROCEDURE 1: The patient was then brought to the procedure room placed in the Left side-lying position. The Rightgreater trochanter and gluteus medius tendon was identified ultrasound. The right gluteus medius tendon demonstrated mixed echogenicity suggestive of tendinosis. There was tenderness to sonopalpation of the tendon. Hyperechoic signal within the tendon was observed suggestive of calcification. There was anechoic signal within the tendon suggestive of possible tearing. There was additionally anechoic signal suggestive of bursitis.

IMPRESSION: Findings suggestive of right gluteus medius calcific tendinopathy with possible tear and subgluteus medius bursitis.

PROCEDURE 2: With written informed consent obtained, risks and benefits were discussed including but not limited to bleeding, infection, bone damage, joint damage, bruising and hematoma formation. The Ultrasound was used to identify the gluteus medius tendon. The overlying skin was cleansed with alcohol x3. A 25 gauge 2 inch needle was then advanced under continuous ultrasound guidance into the gluteus medius tendon. Once at the target location, a syringe was attached containing a 50:50 mixture of 1% lidocaine and 0.25% bupivacaine for a total of 3cc. This was injected into and overlying the tendon at its insertion. The needle was withdrawn a sterile bandage was placed. The patient tolerated the procedure well. She ambulated out of the clinic following procedure in good condition, noting complete resolution of her pain. There were no complications.

PRE-OPERATIVE PAIN SCORE: 8/10
POST-OPERATIVE PAIN SCORE: 0/10
 
I believe both ultrasounds are billable. The first one would be considered a diagnostic ultrasound which was performed to figure out why the patient was having pain. During the diagnostic ultrasound the tendinopathy was discovered. The second one would be considered a therapeutic ultrasound which was performed to help guide the needle for the injection for the treatment of the tendinopathy.

Medicare NCCI 2022 Coding Policy Manual - Chapter 1 Pages 18-19
When a diagnostic procedure precedes a surgical or non-surgical therapeutic procedure and is the basis on which the decision to perform the surgical or non-surgical therapeutic procedure is made, that diagnostic procedure may be considered to be a separate and distinct procedure as long as (a) it occurs before the therapeutic procedure and is not interspersed with services that are required for the therapeutic intervention; (b) it clearly provides the information needed to decide whether to proceed with the therapeutic procedure; and (c) it does not constitute a service that would have otherwise been required during the therapeutic intervention. If the diagnostic procedure is an inherent component of the surgical or non-surgical therapeutic procedure, it shall not be reported separately.
 
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