Home » Categories » Imaging/Radiology Coding

MR Shoulder Arthrography


Question

We have an order for an MRI with contrast of a shoulder joint.  Our radiology department charges CPT#23350 Shoulder arthrogram injection, CPT#73040 Shoulder arthrogram, 73222-RT MRI-upper ext, joint W/ contrast.  Is this the correct coding?  They do perform the arthrogram and report it, but I was wondering if we need to have an order for it?

Answer

I found two sources that indicated it was rare for a conventional arthrogram to be reported with a MR arthrography.  The most common coding for MR arthrography would be 73222 and 23350 for the shoulder injection.  If the injection was done under fluoro guidance, 77002 can be added.  If a formal diagnostic joint arthrography is done in addition to the MR arthrography, there should be a separate order for this separate diagnostic test.

Disclaimer: All articles intended for general guidance only and not as a recommendation for a specific situation. Readers should consult an official source (AHA, AMA, etc.) or a qualified attorney for specific legal guidance.
Attachments Attachments
There are no attachments for this article.
Related Articles RSS Feed
Conscious Sedation-Radiology Procedure
Viewed 4097 times since Mon, Feb 28, 2011
Bilateral Modifier For Radiological Exams
Viewed 4895 times since Fri, Feb 25, 2011
Modifier-Cardiac Cath
Viewed 43496 times since Wed, Oct 26, 2011
MRI’s and Contrast Injection
Viewed 4232 times since Mon, Feb 14, 2011
Mammogram Single Breast
Viewed 5135 times since Thu, Jan 13, 2011
Port Access Prior to CT Scan
Viewed 1811 times since Wed, Nov 17, 2010
FNA of Thyroid with U/S Guidance
Viewed 2256 times since Mon, May 23, 2011
Bilateral Dictation
Viewed 1153 times since Tue, Sep 18, 2012
MRI Coding
Viewed 948 times since Mon, Aug 20, 2012
Echocardiography
Viewed 1730 times since Wed, Nov 17, 2010
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506