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MR Shoulder Arthrography
|Article Number: 86 | Rating: Unrated | Last Updated: Wed, Nov 17, 2010 8:31 PM|
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?
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.
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