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
CPT Coding for Radiology Manager
Viewed 1565 times since Wed, Nov 17, 2010
A9541 MUE
Viewed 1820 times since Wed, Oct 26, 2011
Bilateral Dictation
Viewed 989 times since Tue, Sep 18, 2012
Conscious Sedation-Radiology Procedure
Viewed 3623 times since Mon, Feb 28, 2011
MRI Coding
Viewed 834 times since Mon, Aug 20, 2012
Drainage with Imaging Guidance and Catheter
Viewed 6679 times since Wed, Nov 17, 2010
Coding Multiple Levels of Spine During Surgery one View
Viewed 1067 times since Thu, Dec 20, 2012
MRA Lower Extremities
Viewed 4946 times since Wed, Apr 20, 2011
Bladder Scan
Viewed 3934 times since Wed, Nov 17, 2010
Modifier 26
Viewed 2613 times since Wed, Nov 17, 2010
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506