A 24 year-old with chronic right ankle pain is scheduled to receive an injection at the Pain Clinic.
Under ultrasonic guidance, a 22-gauge spinal needle is introduced into the joint and a total
volume of 40 mg of Kenalog is injected.
What are the correct codes?
A. 20606-RT, J3301 x 4
B. 20605-RT, 79642, J3301 x 1
C. 20550-RT, J3301 x 4
D. 20606-RT, 76942, J3301 x 1
A. 206065-RT, J3301 X 4
A 42 year-old with chronic right trochanteric bursitis is scheduled to receive an injection at the Pain
Clinic. A
22-gauge spinal needle is introduced into the trochanteric bursa, and a total volume of 8 cc of normal
saline
and 40 mg of Kenalog is injected. What are the CPT® codes?
a. 20610-RT, J3301 x 4 c. 20550-RT, J3301 x 4
b. 27093-RT, J3301 x 1 d. 20611-RT, J3301 x 1
ANS: A
Rationale: In the CPT® Index look for Injection/Bursa. You are referred to 20600-20611. Review the
codes to choose appropriate service. 20610 is the correct code because the injection was given in the
trochanteric bursa (hip, a major joint) without ultrasound guidance for drug therapy. In the HCPCS Level
II codebook look in the Table of Drugs and Biologicals for Kenalog and you see Kenalog -10 and
Kenalog-40, which both refer you to See Triamcinolone Acetonide. Triamcinolone Acetonide leads to
several codes J3300, J3301,
and J3302. J3301 10 mg lists Kenalog in the notes below the code. Report 4 units for 40 mg of Kenalog.