Below I have pasted the procedure note from document. This is all that is being report with the US guidance. We fell the 20611 is correct and the code he should be using is the 20610. Any advice please even if you agree is helpful. Again there is no image of the US in the chart. Provider thinks as long as its stored in the US machine he doesn’t need to print out and have the image imported into the patients chart.

Procedures:
Procedure: Left Intra-articular Hip Joint Injection with Ultrasound Guidance
The procedure, alternate treatment options, risks and benefits were explained to the patient and informed consent was obtained. Bony landmarks, femoral vessels and joint space were identified using the ultrasound device. The area was prepped in the usual sterile fashion with betadine. Local anesthesia achieved using Ethyl Chloride spray. Lidocaine 1% without epinephrine (10mL) and Dexamethasone 8mg was injected into the joint using a 22g spinal needle (3.5”) from an anterior approach under ultrasound guidance.

EBL: Less than 5mL

Patient was given standard post procedure instructions and return precautions given. The patient tolerated the procedure well without complications.

Thank you