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CPT® Procedural Coding 110 l with areportoftheprocedure. guidance isusedandapermanentrecordingmade needle placement. Report20611whenultrasonic bursa whennoultrasoundguidanceisusedfor the shoulder, knee, orhipjoint, orthesubacromial bursa. amajorjointorbursa, Use20610for suchas intothejointor injectionofmedication aseparate by analysis. laboratory reportable befollowed This may or bursa. separately Fluidisremovedandsentfor isinsertedintotheaffected syringe attached anesthetic isinjectedasneeded. A needlewitha or bursa. The skinoverthejointiscleansed. A local ofthejoint such asasteroidtoreduceinflammation medication usingananti-inflammatory performed with thearthrocentesisprocedureandistypically inconjunction beperformed of ajointorbursamay theexcessfluid.to reducepaincausedby Injection and/or thecauseofjointeffusion order todiagnose toremovefluidfromajointorbursain is performed or bursaisperformed. andaspiration Arthrocentesis, aspiration, and/orinjectionofajoint Plain EnglishDescription area) anatomical arthrography,(For injectionprocedurefor see Procedures ontheMusculoskeletalSystem General IntroductionorRemoval AMA CodingNotes • guidelines: following the Guidelinessectionfor Please seetheSurgical AMA CodingGuideline 20610-20611 20610-20611 Arthrocentesis, aspirationand/orinjection,

New Surg 20611 20610

ical ProceduresontheMusculoskeletalSystem

s performed, see77002, 77012, 77021) (If fluoroscopic, CT, orMRIguidanceis conjunction with27370, 76942) (Do notreport20610, 20611in permanent recordingandreporting bursa); withultrasoundguidance, with shoulder, hip, knee, subacromial injection, majorjointorbursa(eg, Arthrocentesis, bursa); withoutultrasoundguidance shoulder, hip, knee, subacromial injection, majorjointorbursa(eg, Arthrocentesis,

Revised major jointorbu

: aspiration and/or aspirationand/or

Add On aspirationand/or rsa.

guidance Ultrasound or injectfluid to remov Syringe Hip joint  Modifier 51Exempt e CPT ©2016 ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ICD-10-CM DiagnosticCodes ICD-9-CM DiagnosticCodes

AmericanMedical Association. All rightsreserved. M16.52 M16.31 M14.661 M14.652 M12.562 M12.551 M11.262 M11.252 M10.062 M10.061 M10.052 M10.051 M07.662 M07.651 M06.061 M06.052 M05.761 M05.752 M05.662 M02.361 M02.352 711.05 M16.0 711.06 713.5 714.0 715.15 715.16 715.25 715.26 715.35 715.36 716.15 716.16 719.05 719.06 719.16 719.17 719.45 719.46 726.5 726.61 726.65 726.69 8Moderate Sedation

, lefthip Unila from hipdysplasia, righthip Unila Charcôt's joint, Charcôt's joint, T T Other , Other chondrocalcinosis, Idiopa Idiopa Idiopa Idiopa Enteropa Enteropa Rheuma Rheuma Rheuma Rheuma Rheuma Reiter's , Reiter's disease, rheumatoid factor,rheumatoid rightknee factor,rheumatoid lefthip systems involvement factor ofrightkneewithoutorganor systems involvement factor oflefthipwithoutorganor systems involvement ofotherorgansand reg Pyogenic arthritisinvolvingpelvic Bila Pyogenic arthritisinvolvinglowerleg neurological disorders neurological Arthropa Rheuma pelvic region andthigh pelvic region Osteoarthrosis, lower leg Osteoarthrosis, pelvic region andthigh pelvic region Osteoarthrosis, Osteoarthrosis, lower leg Osteoarthrosis, secondary, andthigh pelvicregion or specified whetherprimary secondary, lowerleg or specified whetherprimary Osteoarthrosis, T and thigh T Ef thigh Ef , Hemarthrosis, Pain injoint, Pain injoint, Enthesopa Pes anserinustendinitisorbursitis Prepa Other enthesopa raumatic ,raumatic leftknee arthropathy,raumatic righthip raumatic arthropathy,raumatic pelvicregion raumatic arthropathy,raumatic lowerleg fusion ofjoint, and pelvicregion fusion ofjoint, lowerleg ion andthigh teral primary osteoarthritisofhip teral primary teral post-traumatic teral post-traumatic teral osteoarthritisresulting tellar thic , leftknee thic gout, rightknee thic gout, lefthip thic gout, righthip toid arthritiswithout toid arthritiswithout toid arthritiswithrheumatoid toid arthritiswithrheumatoid toid arthritisofleftkneewith toid thy associated with thy associated

thic , left knee thic arthropathies, right hip thy ofhipregion pelvic region andthigh pelvicregion lowerleg ~FDA Pending lowerleg ankleandfoot rightknee lefthip localized, primary, localized, primary, localized, secondary, localized, secondary, localized, not localized, not rightknee lefthip thy ofknee 2017 IllustratedCodingandBillingExpertforOrthopedicsLower leftknee lefthip

⇄ Laterality ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ ⇄ Modifiers (PAR) Non-facility RVUs Facility RVUs 20611: Feb15: 6, Aug 15: 6, Jul15: 10 Aug 15: 6, Dec14: 18, Feb15: 6 06: 1, Dec07: 10, Jul08: 9, Mar12: 6, Jun12: 14, 20610: Spring92: 8, Mar01: 10, Apr 04: 15, Jul AMA CPTAssistant Refer to Appendix CCIedits. A for CCI Edits 01 1 0 0 2 1 20610 01 1 0 0 2 1 20611 01 .013 .62.61 1.72 0.16 0.12 1.35 0.81 1.10 1.77 20611 0.79 1.33 20610 0.16 0.12 0.51 0.42 1.10 20611 0.79 20610

oeMod Code oeWr PENon- Work Code PE Work Code

M71.862 M71.851 M70.71 M70.61 M70.52 M70.41 M65.861 M65.852 M25.561 M25.552 M25.462 M25.451 M25.061 M25.052 M1A.062 M1A.051 M17.12 M17.11 M17.2 M16.7 M17.5 M17.0 7 Seventh Character

50

knee Other specifiedbursopa hip Other specifiedbursopa Other bursitisofhip, T Other bursitisofknee, Prepa Other synovitisandtenosynovitis, Other synovitisandtenosynovitis, Pain inrightknee Pain inlefthip Ef Ef Hemarthrosis, Hemarthrosis, Idiopa Idiopa Unila Unila right lowerleg thigh knee knee Bila of knee osteoarthritis ofhip Other unila osteoarthritis ofknee Other unila knee Bila rochanteric bursitis, righthip fusion, leftknee fusion, righthip Mod Facility Facility 51 teral post-traumatic osteoarthritis teral post-traumatic teral primary osteoarthritisof teral primary teral primary osteoarthritis,teral primary left osteoarthritis,teral primary right tellar bursitis, rightknee thic chronicgout, leftknee thic chronicgout, righthip teral secondary teral secondary teral secondary teral secondary Mod 62 rightknee lefthip © 201 |Male PTotal Non- MP Total MP righthip Mod

7 leftknee 66 Global: 000 DecisionHealth thies, left thies, right Facility Facility ~ Female Mod 80 left