Joint Injections with Ultrasound Guidance

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January 14, 2016

Question:
We do a lot of joint injections (20604, 20606 and 20611) and sometimes use ultrasound guidance. Is this bundled with the CPT code or can we get separate reimbursement for the 76942? My doctors think we can get paid for ultrasound separately.

Answer:
CPT 20604, 20606, and 20611 include ultrasound guidance. 76942 cannot be reported separately. However, if you use Fluoroscopic (77002) guidance, CT (77012) or MRI (77021) you may report these in addition to the injection code for some payers.  Keep in mind though, Medicare bundles the imaging with these injections.  Don’t forget, the drug injected can be reported in addition to the joint injection procedure.

*This response is based on the best information available as of 01/14/16.