Wiki Failed to locate joint for arthrocentesis

[Jody Mortensen]

Hi, has anyone came across coding for a failed arthrocentesis. The provider tried multiple attempts to aspirate the ankle joint but could not locate the needle into the joint. Would it be appropriate to assign 20605 with modifier 53 my concern is the needle never went into the joint. Thank you in advance for your assistance.

 

[Orthocoderpgu]

In my opinion you don't have a billable service. Usually -53 is used when the patient's physical condition requires that the physician stop any procedures being performed. Since this was stopped due to the joint not being located, I don't think you have a billable service.