04/27/15 – Joint injection codes now include ultrasound guidance

Question: For 2015, it looks like the CPT book has added new joint injection codes (20604, 20606 and 20611) which include ultrasound guidance. However, how do we bill if fluoroscopic guidance was used instead?



Answer: The new injections codes include ultrasound guidance and therefore code 76942 should NOT be reported in addition to the primary code billed. If fluoroscopic guidance is used, code 77002 would be reported separately as it not included in the CPT descriptor of the code.

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