Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Practice Exam

CPC Practice Exam and Study Guide Package

Practice Exam

What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

CPC Exam Review Video

Laureen shows you her proprietary “Bubbling and Highlighting Technique”

Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page

Practice Exam

2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Lateral Epicondyle Injection w/Ultrasound Guidance

My doctor performed a lateral epicondyle injection. He was told by an Ortho provider that the code should be 20605/20606. Everything I’m finding is pointing towards 20551.

The Report reads: "The patient was placed in the supine position with the affected limb, with the shoulder in abduction and internal rotation, and the elbow flexed. We therefore, cleaned the radial aspect of the right elbow with chlorhexidine in the usual sterile fashion. We identified the right lateral epicondyle under ultrasound guidance. we advanced the 27-gauge needle. There was positive activation of the ulnar hypothenar muscle of the hand with the Stimuplex needle in place. Then had a negative aspiration and injected a total of 4 mL of lidocaine 1 %, as well as 40 mg of Depo-Medrol. Needle was removed. Dressing was applied."

If anyone has any guidance on this, it would be greatly appreciated.

Medical Billing and Coding Forum

Pain coding – Right lateral epicondyle injection with ultrasound guidance

Help,
This is the procedure:
Right elbow extensor tendon ultrasound guided corticosteroid injection.
Consent: Written consent was given after the risks, benefits, and alternatives of the procedure were explained and patient agreed to proceed with the injection. Indication for ultrasound guidance procedure includes avoidance of further ulnar nerve damage, obesity.
Description of Procedure: Right elbow extensor tendon injection: With the arm pronated, the proximal forearm close to the lateral epicondyle was prepped in standard sterile fashion and appropriate sterile cover and gel were used for ultrasound procedure. Using a Sonosite M-Turbo 15-6MHz linear array probe scanned both in long and short axis and injected in short axis visualizing elbow extensor tendon clearly. Procedure note: Written consent was given after the risks and benefits of the procedure were explained and pt agreed to proceed with the injection. The pt remained seated for the procedure with the left fully relaxed. After standard sterile preparation with Chloraprep. The extensor forearm was then injected utilizing the "peppering" technique with redirection of the needle several times with 1cc of 1%lidocaine without epinephrine and 40mg kenalog (NDC # 0003-0293-05) with intermittent negative withdrawal of heme. The needle was withdrawn. The pt tolerated the procedure well and there were no complications. There was immediate relief of symptoms. A sterile bandage was applied. Pt was given instructions to avoid more than 5 lbs lifting or pulling with right hand for 2 weeks. may ice today only..

Should this be billed as trigger point? My doctor is wanting it to be billed as 24357. Any guidance would really be appreciated.
Thanks in advance.

Medical Billing and Coding Forum

Pain coding – Right lateral epicondyle injection with ultrasound guidance

HELP!
This is the procedure:
Procedure: Right elbow extensor tendon ultrasound guided corticosteroid injection.
Consent: Written consent was given after the risks, benefits, and alternatives of the procedure were explained and patient agreed to proceed with the injection. Indication for ultrasound guidance procedure includes avoidance of further ulnar nerve damage, obesity.
Description of Procedure: Right elbow extensor tendon injection: With the arm pronated, the proximal forearm close to the lateral epicondyle was prepped in standard sterile fashion and appropriate sterile cover and gel were used for ultrasound procedure. Using a Sonosite M-Turbo 15-6MHz linear array probe scanned both in long and short axis and injected in short axis visualizing elbow extensor tendon clearly. Procedure note: Written consent was given after the risks and benefits of the procedure were explained and pt agreed to proceed with the injection. The pt remained seated for the procedure with the left fully relaxed. After standard sterile preparation with Chloraprep. The extensor forearm was then injected utilizing the "peppering" technique with redirection of the needle several times with 1cc of 1%lidocaine without epinephrine and 40mg kenalog (NDC # 0003-0293-05) with intermittent negative withdrawal of heme. The needle was withdrawn. The pt tolerated the procedure well and there were no complications. There was immediate relief of symptoms. A sterile bandage was applied. Pt was given instructions to avoid more than 5 lbs lifting or pulling with right hand for 2 weeks. may ice today only..

Should this be billed as a trigger point? My doctor is wanting it billed as a 24357.
Any guidance will be appreciated. Thanks in advance.

Medical Billing and Coding Forum