Definition of CPT 20604: Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting.
CPT 20604 Coding Guidelines
Definition of CPT Code 20611:Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting.
CPT 20611 Coding Guidelines
Do not report CPT 20610, CPT 20611 in conjunction with CPT 27370, CPT 76942. (If fluoroscopic, CT, or MRI guidance is performed, see CPT 77002, CPT 77012, CPT 77021).
The above three codes (CPT 20604, CPT 20606 and CPT 20611) describe ultrasound imaging guidance as an inclusive component of arthrocentesis, aspiration and/or injection of a joint or bursa.
Fluoroscopicguided arthrocentesis will remain component coded. Revisions were made to CPT 20605 and CPT 20610 to denote the procedures are performed without ultrasound guidance.