Introduction of New CPT codes for 2015
Since we are entering into New Year, we also have certain changes in CPT codes. There are few new CPT codes for 2015 which we will be using in interventional radiology coding. In interventional radiology, we will be having combined new codes in place of deleted old codes. New CPT codes for 2015 include new codes for arthrocentesis for small, intermediate and large joint. The new codes will include the ultrasound guidance, hence no need of coding guidance separately. Also, the new codes for 2015 will have the same guideline to follow and will be used for coding for aspiration and/or injection procedures done on joints.
Coding of guidance with new CPT codes for 2015
As we know the new codes for 2015 for arthrocentesis are combined codes and include ultrasound guidance, but there are no codes given for guidance other ultrasound like fluoroscopic guidance. The new codes for 2015 will be used only when done with ultrasound guidance, for arthrocentesis procedures with fluoroscopic guidance still are in question. Hope with the use of new CPT codes for 2015 we will overcome this confusion. Let’s check out these new codes which will be used in 2015.
20604 Arthrocentesis, aspiration and/or injection, small joint or bursa (e.g., fingers, toes); with ultrasound guidance, with permanent recording and reporting
20606 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (e.g., temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting
20611 Arthrocentesis, aspiration and/or injection, major joint or bursa (e.g., shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting
Do and Don’t for new cpt codes for 2015
Do not code ultrasound guidance code 76942 along with these CPT codes (20604-20611)
Use code 10160- Puncture aspiration of abscess, hematoma, bulla or cyst if there is no specific code given for aspiration.
Use new codes for 59 modifiers when there is two or more than two arthrocentesis procedures are done on same type (small, intermediate or large) of joints.