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20610 76942 vs 20611

Date: Oct 10, 2022

Question:

No permanent image saved noted. How would you code the following?

"US GUIDANCE MAJOR JOINT ASPIRATION AND/OR INJECTION. Procedure: The risks and benefits of the procedure including infection, bleeding and technical failure were discussed with the patient, who agreed to proceed. The patient was positioned supine on the ultrasound table. Time out was performed. The right hip joint was localized using live ultrasound guidance, and the location on the skin for needle insertion was marked. Pre-procedural scanning demonstrated dysplastic appearing right femoral head. The region was prepped and draped using sterile technique. Approximately 5 cc of lidocaine was injected for local anesthesia. A 23 gauge spinal needle was inserted into the right hip joint utilizing live ultrasound guidance. 2 cc of 6 mg/cc betamethasone and 2 cc of 0.5% Ropivacaine was injected. Pre-procedural pain level was 4/10 and post-procedural pain level was 0/10. IMPRESSION: Successful ultrasound guided anesthetic and steroid injection of the right hip joint."

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