A 49-year-old female had two previous rotator cuff procedures and now has difficulty with shoulder function, deltoid muscle function and axillary nerve function. An arthrogram is scheduled. After preparation, the shoulder is anesthetized with 1% lidocaine, 8 cc without epinephrine. The needle was placed into the shoulder area posteriorly under image intensification. It appeared as if the dye was in the shoulder joint. A good return of flow was obtained. The shoulder was then mobilized and there was no evidence of any cuff tear from the posterior arthrogram. What CPT® codes are reported? a. 20610, 73040-26 b. 23350, 73040-26 c. 20552, 73040-26 d. 20551, 73040-26
Question
A 49-year-old female had two previous rotator cuff procedures and now has difficulty with shoulder function, deltoid muscle function and axillary nerve function. An arthrogram is scheduled. After preparation, the shoulder is anesthetized with 1% lidocaine, 8 cc without epinephrine. The needle was placed into the shoulder area posteriorly under image intensification. It appeared as if the dye was in the shoulder joint. A good return of flow was obtained. The shoulder was then mobilized and there was no evidence of any cuff tear from the posterior arthrogram. What CPT® codes are reported? a. 20610, 73040-26 b. 23350, 73040-26 c. 20552, 73040-26 d. 20551, 73040-26
Solution
The correct CPT® codes to report for this procedure are 23350, 73040-26. So, the answer is b. 23350, 73040-26.
Here's why:
CPT® code 23350 is used for Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography. This code is appropriate because the patient had an arthrogram of the shoulder, which involves injecting dye into the joint and then taking images.
CPT® code 73040-26 is used for Radiologic examination, shoulder, arthrography, radiological supervision and interpretation. The "-26" modifier indicates that the physician is billing only for the professional component of the service, which includes supervision and interpretation of the imaging study. This code is appropriate because the procedure description mentions that the needle was placed under image intensification, indicating that imaging was used during the procedure.
Similar Questions
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