Shoulder injection cpt code

A radiologist will use the fluoroscope to help guide a small needle into your joint. Contrast is injected through this needle. X-rays will then be taken to make sure that the needle is in the correct place. Steroids and a numbing medicine such as Lidocaine or Bupivicaine will then be injected into your joint.

CPT Code 20600, General Surgical Procedures on the Musculoskeletal System, General Introduction or Removal Procedures on the Musculoskeletal System - ... The medication does not determine the injection code; the type of injection does. If it's a general intramuscular injection, then it's 96372. If it's into a major joint (shoulder, hip, knee ...Jul 29, 2019 · How to Do a Subacromial Shoulder Injection. Carlin Senter, MD, and Elizabeth Marshall, MD, discuss how to perform a subacromial shoulder injection, focusing on the supplies needed and the proper anatomic landmarks, including the advantages of both the posterior and lateral approaches for injection. Proper procedure for both approaches is ... When reporting CPT® 23700 Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) general anesthesia—not local, moderate sedation, etc., is required. Per CPT Assistant (April 2005):. CPT code 23700 is intended to be reported for the manipulation only when performed under general anesthesia. The code descriptors, which include the ...Injection Techniques. The target for the posterior approach is between the free edge of labrum and the cartilage of humeral head underneath the capsule ().[1,2] Once the target is obtained, a 22 gauge 3.5-inch spinal needle is inserted from lateral to medial direction with in-plane technique.The injectate is 4 mL of local anesthetic with steroid (e.g., 2% lidocaine and 40 mg methylprednisolone ...Code Description 50016-0957-11 Gel-One Hyaluronate 3.0 ml (Effective 8/1/2020) CPT (Current Procedural Terminology) Codes Code Description 20610 Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance 20611Best answers. 0. Sep 1, 2009. #1. What CPT code does an injection into the subacromial space code to? The procedure is documented as: under sterile technique, the subacromial space was injected with 1 ml of Celestone. I'm looking at 20610 but I do not know if that is correct.When it comes to medical billing and coding, assigning the correct CPT codes for various procedures, such as trigger point injections, is crucial. Trigger point injection CPT codes include: 20552 CPT code: This code is used when one or two muscle groups are injected. 20553 CPT code: This code is used when three or more muscle groups are injected.

The last injection (in a prior course) was given at least six (6) months ago. Repeat injections for shoulder arthritis are limited to a single repeat course. Coding information: If an aspiration and an injection procedure are performed at the same session, bill only one unit for CPT code 20610 or 20611.CPT Codes. Surgery. Surgical Procedures on the Musculoskeletal System. Surgical Procedures on the Shoulder. Manipulation Procedures on the Shoulder. 23700. 23680. 23700. 23800.Citation, DOI, disclosures and article data. Glenohumeral joint injections (often referred to as shoulder injections ) are performed as part of a number of therapeutic and imaging procedures using a variety of approaches and modalities. The underlying principles shared by all techniques are to avoid damage to the glenoid labrum, long …Answer: If the physician documents barbotage, he most likely aspirated a site and then immediately injected the same site. You should report 20610 ( Arthrocentesis, aspiration and/or injection; major joint or bursa [e.g., shoulder, hip, knee joint, subacromial bursa]) for this procedure, along with 76003 ( Fluoroscopic guidance for needle ...20611 Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting. If the provider performs joint aspiration/injection with US guidance, select 20604, 20606, or 20611 (depending on the joint targeted).ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT OR BURSA (EG, SHOULDER, HIP, KNEE, SUBACROMIAL BURSA); WITH ULTRASOUND GUIDANCE, WITH PERMANENT RECORDING AND REPORTING N/A. CPT/HCPCS Modifiers ... 03/01/2019 Billing the injection procedure: Added CPT code 20611 to …

Physician CPT®Code Description Arthroplasty 23470Arthroplasty, glenohumeral joint; hemiarthroplasty. 23472. Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder)) Revision 23473Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component.For example, CPT codes 20526-20553 (therapeutic injection of carpal tunnel, tendon sheath, ligament, muscle trigger points) shall not be reported for the administration of local anesthesia to perform another procedure. Many NCCI PTP edits are based ... The NCCI program considers the shoulder to be a single anatomic structure. With 3980-20493-00 Rev A. 5 MSK 2021 Reimbursement Guide. CPT Code Description Physician4ASC5. Hospital – Medicare Natl OPPS. APC6Payment. 76881 Ultrasound, complete joint (ie, joint space and peri-articular soft tissue structures) real-time with image documentation GL: $67.79 TC: $36.64 26: $31.05 Packaged into payment for the primary …View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. ... We are using the following codes (using a shoulder as an example: 23350 - Injection for shoulder x... [ Read More ] View All. Coding Alert(s) Tabs. Coding Alert(s) Code Connect; CMS ; Read a CPT® Assistant ...

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Aspiration and Injection CPT Codes. Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) ... Arthrocentesis, aspiration and/or injection; major joint or bursa eg, shoulder, hip, knee joint, subacromial bursa) (20610) Aspiration or injection ganglion cyst (20612)Biologic implants are usually porcine or allogenic grafts that have been decellularized to reduce the possibility of the body rejecting the implant. Code +15777 is distinct from 15271-15278, which are intended to report topical applications of skin substitute grafts. You may report placement of biologic implant with skin graft when the ...You cannot have two primary surgeons on the same procedures. Codes 29807 and 23412 are both shoulder codes. Codes 29898 and 29891 are both ankle codes. I can see one doc billing the shoulder codes as ... [ Read More ]CPT Codes. Surgery. Surgical Procedures on the Hemic and Lymphatic Systems. General Surgical Procedures on the Hemic and Lymphatic Systems. Bone Marrow or Stem Cell Services/Procedures. 38230. 38222. 38230. 38232.Article Text. The following billing and coding guidance is to be used with its associated Local Coverage Determination. Injection therapies for Morton's neuroma do not involve the structures described by CPT code 20550 and 20551 or direct injection into other peripheral nerves but rather the focal injection of tissue surrounding a specific focus of inflammation on the foot.

Outpatient Shoulder Arthroscopy. Special Pricing. CPT/HCPCS. Code. Prompt Pay. Price. (1). 29805. 29806. 29807. 29819. 29820. 29822. 29823. 29824. 29825. 29827.23700 joint manipulation under anesthesia, shoulder joint, including application of FIXATION APPARATUS (DISLOCATION EXCLUDED) 29805 JOINT ARTHROSCOPY, …Inflamed joints are recognized by being red, warm, tender, swollen, and painful to bend. Arthrocentesis CPT Codes. The CPT codes for arthrocentesis aspiration or injection procedures are 20600-20611. Accurate reimbursement depends on reporting the services provided using all the appropriate code sets and modifiers.Shoulder Injection Checklist Clinical. Supply list. Lidocaine 1% (5cc) Triamcinolone 40mg/ml (1cc) Alcohol swabs (#2) 5-10cc syringe 18g needle (for drawing up) 21-25g 1.5" needle (for injection) Marker Chlorhexidine swab 2×2 gauze Band-aid. Example procedure note.A routine glenohumeral joint injection is performed. Following confirmation of intra-articular position with a small amount of contrast (avoid over-injecting as there may not be enough room for the steroid and local anesthetic), the glenohumeral joint is maximally distended, first using steroid/long-acting local anesthetic mixture followed by ...You cannot have two primary surgeons on the same procedures. Codes 29807 and 23412 are both shoulder codes. Codes 29898 and 29891 are both ankle codes. I can see one doc billing the shoulder codes as ... [ Read More ]ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT OR BURSA (EG, SHOULDER, HIP, KNEE, SUBACROMIAL BURSA); WITH ULTRASOUND GUIDANCE, WITH PERMANENT RECORDING AND REPORTING N/A. CPT/HCPCS Modifiers ... 03/01/2019 Billing the injection procedure: Added CPT code 20611 to …Inject interdigital Neuroma Destruction of Interdigital Nerve (via injection, etc.) requires at least 50% alcohol solution. (64640 does not seem to be the appropriate. CPT code. for sclerosing. injections; at least at this time) (Fanucci et. Eur Radiol 14:514-518; 2004) 20605 20612.What code can be used for hydrodilation of the shoulder joint? Kenalog, saline and lidocaine were all injected with a diagnosis of adhesive capsulitits. Would CPT code 20610 be appropriate or unlisted 29999? Thank you!

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. ... We are using the following codes (using a shoulder as an example: 23350 - Injection for shoulder x... [ Read More ] View All. Coding Alert(s) Tabs. Coding Alert(s) Code Connect; CMS ; Read a CPT® Assistant ...

The last injection (in a prior course) was given at least six (6) months ago. Repeat injections for shoulder arthritis are limited to a single repeat course. Coding information: If an aspiration and an injection procedure are performed at the same session, bill only one unit for CPT code 20610 or 20611.At times, it may be difficult to differentiate the diagnosis of shoulder pain. Subacromial injection can be used for diagnostic purposes. Injecting 5 mL of 1 percent lidocaine into the subacromial ...ICD-10 code: S43.50 (S43.51, S43.52) “Sprain of acromioclavicular joint” (right & left, respectively) CPT codes: 20605 “Arthrocentesis, aspiration and/or injection; intermediate joint or bursa” 77002 – Fluoroscopic guidance of a needle (non-spinal) Remember to bill for the J-codes for the contrast and steroid as well. Patient PositionNew. Bone marrow aspiration code 38220 changed as of Jan 1 2018 and it now states it is for diagnostic purposes only. So it should not be used for what you are describing. Under CPT code 20939 in your Professional Addition CPT book it states for bone marrow aspiration other than spinal procedures you are to use 20999.CPT Code 95887. Long description of CPT Code 95887: Needle electromyography, non-extremity (cranial nerve supplied or axial] muscles done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary procedure). Short description: EMG, non-extremity muscles.The Current Procedural Terminology (CPT ®) code 96372 as maintained by American Medical Association, is a medical procedural code under the range - Therapeutic, Prophylactic, and Diagnostic Injections and Infusions (Excludes Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration).For questions on reimbursement or to find information for a specific product, please contact the Arthrex Coding and Reimbursement Hotline at 1-844-604-6359 or email us at [email protected]. Coding Guides (30) Achilles Soft-Tissue Implants - 2024 Coding and Reimbursement Guidelines. File Type:Arthrocentesis, aspiration and/or injection, major joint or Used to report knee injections The following codes may be appropriate when billing for ZILRETTA and related service. ... ® 20610 bursa (eg, shoulder, hip, knee, subacromial bursa); without without ultrasound guidance ultrasound guidance ICD-10-CM Codes1 CPT=Current Procedural ...

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Coding for Major Joint Injection and Aspiration Coding. CPT(R) 20610 may be performed for diagnostic analysis and/or to relieve pain and swelling in the joint. ... Left shoulder and Right knee), two units of 20610 and modifier 59 Distinct procedural service to the second unit (Eg. 20610, 20610-59) should be appended to indicate that the … Physician CPT®Code Description Arthroplasty 23470Arthroplasty, glenohumeral joint; hemiarthroplasty. 23472. Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder)) Revision 23473Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component. Aug 15, 2019 ... CPT 20610-Arthrocentesis, aspiration and/or injection, major joint or bursa (e.g. shoulder, hip, knee, subacromial bursa); without ultrasound ...One-year outcome of subacromial corticosteroid injection compared with manual physical therapy for the management of the unilateral shoulder impingement syndrome: a pragmatic randomized trial. Ann ...This was done along with arthroscopic repair of superior labrum anterior and posterior, type 4, right shoulder. I know the code fore this is 29807, but not sure about the injection. All of the amniotic membrane codes I find are for the eye. The op note says: Ovation amniotic membrane allograft was injected in the shoulder for the purposes of 1.Patients who underwent ipsilateral postoperative intra-articular shoulder injections were then identified by searching for patients with a large joint injection (CPT 20610) for an associated shoulder-specific diagnosis (ICD-9 coding) with a steroid "J" code for corticosteroid preparations administered as a local injection.HCPCS Codes. Drugs Administered Other than Oral Method J0120-J8999. Drugs, Administered by Injection J0120-J7175. Injection, dexamethasone sodium phosphate, 1 mg. J1097. J1100. J1105.Shoulder lesion, unspecified, right shoulder M75.92 Shoulder lesion, unspecified, left shoulder M76.01 ... to the CPT/HCPCS Codes section Group 3 and ICD-10 Codes that Support Medical Necessity Group 3 for sacroiliac joint injections. CPT code 64451 has been added to the "Coding Information" section for sacroiliac joint injections. ...Nor may you use 24357 to report a PRP injection. CPT also states that "it is not appropriate to report code 86985, Splitting of blood or blood products, each unit, to describe the derivation of the platelets. Therefore, it is not appropriate to report code 86940." The CPT advisors state that "if injection of the platelet rich cells is performed ... ….

Coding for Major Joint Injection and Aspiration Coding. CPT(R) 20610 may be performed for diagnostic analysis and/or to relieve pain and swelling in the joint. ... Left shoulder and Right knee), two units of 20610 and modifier 59 Distinct procedural service to the second unit (Eg. 20610, 20610-59) should be appended to indicate that the …1 =Bilateral Surgery (50) 1 = 150% payment adjustment for bilateral procedures applies. 20610 is eligible for modifier 50. Modifiers can become carrier specific. Some carriers prefer 50, some prefer LT/RT, some 2 units, etc, etc. When posting 20610 bilaterally, I post 20610-50 and manually double the fee.CPT CODE J3301 – Kenalog-40 Injection. Kenalog-40 Injection (triamcinolone acetonide injectable suspension, USP) is a synthetic glucocorticoid corticosteroid with anti-inflammatory action. ... Billing the correct number of NDC units for the corresponding HCPCS/CPT codes on your claims is essential. There are two ways to calculate NDC …First, Some Background Information. CPT® 20610 describes aspiration (removal of fluid) from, or injection into, a major joint (defined as a shoulder, hip, knee, or subacromial bursa), or both aspiration and injection of the same joint. The procedure may be performed for diagnostic analysis and/or to relieve pain and swelling in the joint.Inject interdigital Neuroma Destruction of Interdigital Nerve (via injection, etc.) requires at least 50% alcohol solution. (64640 does not seem to be the appropriate. CPT code. for sclerosing. injections; at least at this time) (Fanucci et. Eur Radiol 14:514-518; 2004) 20605 20612.When reporting CPT® 23700 Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) general anesthesia—not local, moderate sedation, etc., is required. Per CPT Assistant (April 2005): CPT code 23700 is intended to be reported for the manipulation only when performed under general ...CPT® code 96372: Injection of drug or substance under skin or into muscle. As the authority on the CPT® code set, the AMA is providing the top-searched codes to help …Procedure CODE and description. 77002 - Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) average fee amount - $90 - $100. 77003 - Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or ...CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately. The code includes all injections made into the muscle. Medication. The drug used for the injection must be on the same claim as the trigger point administration. Shoulder injection cpt code, CPT Codes. Surgery. Surgical Procedures on the Musculoskeletal System. Surgical Procedures on the Shoulder. Incision Procedures on the Shoulder. 23040. 23035. 23040. 23044., CPT Code 23412, Surgical Procedures on the Shoulder, Repair, Revision, and/or Reconstruction Procedures on the Shoulder - Codify by AAPC. Select. Code Sets; ... Coding for shoulder procedures is evolving keep up to date with the changes. Coding for shoulder procedures has changed significantly since 2004. If you havent stayed current …, Anyone who has worked in any portion of the medical field has had to learn at least a little bit about CPT codes. These Current Procedural Terminology codes are used to document an..., The last injection (in a prior course) was given at least six (6) months ago. Repeat injections for shoulder arthritis are limited to a single repeat course. Coding information: If an aspiration and an injection procedure are performed at the same session, bill only one unit for CPT code 20610 or 20611., I am showing on CCI edits that 20610 is bundled with 23700 as of Jan. 1, 2011. Can these two codes be... Menu. Forums. New posts Search forums. Wiki Posts ... Wiki Coding shoulder manipulation w/injection. Thread starter vmounce; Start date Jan 11 ... it the manipulation is on one shoulder and the injection on the other shoulder or the right ..., Procedures Not to Include on Surgical Case Lists ; 20610, Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, ..., CPT® Assistant. September 2003; Volume 13: Issue 9 September 2003 page 13 Coding Update:Tendon Sheath Injections In this article, we will focus on codes for injection(s) of a tendon sheath ligament (20550) and injection(s) of tendon origin/insertion (20551). Although the parent code (20550),, Texas Subscriber. Answer: You should be reporting the new-to-2020 code 64451 (Injection (s), anesthetic agent (s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)) for this procedure. Also, append M54.31 (Sciatica, right side) to 64451 to represent the patient’s sciatica., How to Do a Subacromial Shoulder Injection. Carlin Senter, MD, and Elizabeth Marshall, MD, discuss how to perform a subacromial shoulder injection, …, Best answers. 0. Feb 24, 2015. #3. It's actually hard to answer your question without seeing the note. Which code was done with U/S guidance? 77002 is bundled into both 64418 and 76942. Maybe when you receive the chart note you could post it (w/o pt info of course) and then people could be more certain about an answer., The CPT® codes for reporting arthrocentesis are 20600-20615. The descriptors start by stating that the codes represent arthrocentesis — aspiration from or injection into a joint, or both aspiration and injection of the same joint. Proper code selection is based on two factors: Whether ultrasound guidance is used., Learn more about CPT® code 96372 for injection of drug or substance under skin or into muscle. , A total shoulder replacement is indicated by 23472 ( total shoulder, glenoid and proximal humeral replacement) A hemiarthroplasty is indicated by 23470 ( arthroplasty, glenohumeral joint) 23330-23332 ( removal of foreign body, shoulder) This is a tough call, acknowledges Christine Banks, RRA, CPC, an orthopedic coding specialist, Massachusetts ..., CPT Code 23412, Surgical Procedures on the Shoulder, Repair, Revision, and/or Reconstruction Procedures on the Shoulder - Codify by AAPC. Select. Code Sets; ... Coding for shoulder procedures is evolving keep up to date with the changes. Coding for shoulder procedures has changed significantly since 2004. If you havent stayed current chances ..., Excessive arm activity increases the risk of shoulder pain. The discomfort may be short-term and heal on its own or require medical intervention. The shoulder is incredibly mobile:..., Wiki Coding shoulder manipulation w/injection. Thread starter vmounce; Start date Jan 11, 2011; Create Wiki V. vmounce Guru. Messages 131 Location London, KY Best answers 0. Jan 11, 2011 ... it the manipulation is on one shoulder and the injection on the other shoulder or the right knee you would report 23700, 20610-59,RT But, in your …, When it comes to medical billing and coding, assigning the correct CPT codes for various procedures, such as trigger point injections, is crucial. Trigger point injection CPT codes include: 20552 CPT code: This code is used when one or two muscle groups are injected. 20553 CPT code: This code is used when three or more muscle …, 2019 CPT includes new instructions specific to imaging guidance. This is important since imaging is bundled into many of the pain procedures ASA members perform, eg interlaminar epidurals (codes 62321, 62323, 62325, 62327), paravertebral blocks (codes 64461 - 64463), transforaminal epidurals (codes 64479-64484),) TAP blocks (codes 64486-64489 ..., by CPT code 76881, includes the examination and documentation of the muscles, tendons, joint, and other soft tissue structures and any identifiable abnormality of the joint being evalu-ated. If anything less is done, then the CPT code 76882 should be used. New CPT codes for joint injections became effective January 2015 (Table 3). The new, However, CPT's section on elbow introduction or removal includes the notation, "for injection of tennis elbow, use CPT 20550" (Injection[s], single tendon sheath, or ligament, aponeurosis [e.g., plantar "fascia"]). Code 20551 might be the best choice in many cases, but check your physician's documentation to be sure you shouldn't be reporting ..., However, CPT's section on elbow introduction or removal includes the notation, "for injection of tennis elbow, use CPT 20550" (Injection[s], single tendon sheath, or ligament, aponeurosis [e.g., plantar "fascia"]). Code 20551 might be the best choice in many cases, but check your physician's documentation to be sure you shouldn't be …, Arthrographic injection codes are joint specific and can thus be applied to procedures in a straightforward and unambiguous manner. More commonly used codes include 23350 (injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography), 24220 (injection procedure for elbow arthrography), 25246 (injection …, The CPT® codes for reporting arthrocentesis are 20600–20615. The descriptors start by stating that the codes represent arthrocentesis — aspiration from or injection into a joint, or both aspiration and injection of the same joint. Proper code selection is based on two factors: Whether ultrasound guidance is used., CPT Code 20610, General Surgical Procedures on the Musculoskeletal System, General Introduction or Removal Procedures on the Musculoskeletal System - ... member: 489225"] My doctor is billing doing multiple bilateral injections on shoulder, hip, elbow and knee. Is the correct coding 20550 with modifier 50 or 20550 x 30 ... [ Read More ..., 73630 --> Foot (3+ views) - unilateral or bilateral 73030 --> Shoulder (2+ views) - unilateral or bilateral 73650 --> Heel (os calcis)(2+ views) - unilateral or bilateral 73000 --> Clavicle ... Fluoro Guided Joint Injection Diagnostic CPT Code Reference Guide Fluoroscopy Venous Duplex Upper and Lower Extremity (Bilateral) Venous Duplex Upper ..., 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. If the provider performs joint aspiration/injection with US guidance, select 20604, 20606 or 20611 (depending on the joint targeted)., major joint or bursa [e.g., shoulder, hip, knee joint, subacromial bursa]) for this type of injection because the AC joint is between the shoulder and the clavicle, and 20610's descriptor references the shoulder. But 20605's descriptor specifically describes the acromioclavicular joint, so you should always report 20605 for AC joint injections., 8. Place alcohol swab over site, feel approach of needle. 9. Use 10cc syringe filled with 4-5cc 1% lidocaine and 1 cc 40mg triamcinolone and 22g 1.5” needle. 10. Enter space. 11. Once needle is hubbed or nearly hubbed inject solution. 12., Oct 1, 2015 · The last injection (in a prior course) was given at least six (6) months ago. Repeat injections for shoulder arthritis are limited to a single repeat course. Coding information: If an aspiration and an injection procedure are performed at the same session, bill only one unit for CPT code 20610 or 20611. , 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. If the provider performs joint aspiration/injection with US guidance, select 20604, 20606 or 20611 (depending on the joint targeted)., 00:00. 00:00. Magnetic resonance imaging (MRI) of the shoulder uses a powerful magnetic field, radio waves and a computer to produce detailed pictures of the bones, tendons, muscles and blood vessels within the shoulder joint. It is primarily used to assess injuries. Tell your doctor about any health problems, recent surgeries or allergies and ..., Inject interdigital Neuroma Destruction of Interdigital Nerve (via injection, etc.) requires at least 50% alcohol solution. (64640 does not seem to be the appropriate. CPT code. for sclerosing. injections; at least at this time) (Fanucci et. Eur Radiol 14:514-518; 2004) 20605 20612., Get Joint Size Right. The first set of joint injection codes Clements discussed were: 20600 (Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance) 20605 (Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow ...