August 20, 2020
My physician performed an SI joint injection in the ASC under ultrasound guidance and wants to bill 27096 and 76942. Is this correct? The description of the codes say imaging is included.
If ultrasound is used instead of fluoroscopy, or CT, report a trigger point injection with 76942. Some payor policies exclude payment of 27096 with ultrasound. Append modifier 26 if you do not own the equipment and are providing only the professional component (interpretation).
*This response is based on the best information available as of 08/20/20.