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23 lis 2009 · According to the Orthopedic Coder's Pink Sheet April 2009; For hand (carpus, metacarpus, phalanges) - use small joint injection code 20600. For upper arm (elbow/humerus) or forearm (radius/ulna, wrist) - use intermediate injection code 20605.
The official description of the 20605 CPT code is: “Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (e.g., temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance.”
Explanation: This CPT code 20605 is applied when performing arthrocentesis on intermediate-sized joints or bursae. Examples include the temporomandibular joint, acromioclavicular joint, wrist, elbow, ankle, or olecranon bursa.
Revised codes 20600, 20605, and 20610 describe arthrocentesis, aspiration and/or injection of small, intermediate, and major joint or bursa without ultrasound guidance. Two parenthetical notes were also added following codes 20604, 20606, and 20611.
CPT 20600 is used to describe the procedure of arthrocentesis, aspiration, and/or injection in a small joint or bursa without the use of ultrasound guidance. This code is specifically for the treatment of small joints or bursae, such as those in the fingers or toes.
CPT code 20605 should be used when a healthcare provider performs arthrocentesis, aspiration, and/or injection in an intermediate joint or bursa without the use of ultrasound guidance. It is important to ensure that the procedure meets the specific criteria outlined in the code description.
23 mar 2023 · Know the difference between major and small joints or bursae: CPT codes 20610 and 20605 are used for arthrocentesis procedures that involve major and small joints or bursae, respectively. Knowing the difference can help you select the appropriate code.
