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Joint aspiration/injection CPT
Codes used to remove fluid or inject medication into a joint
20600
Small joint injection or aspiration
20605
Intermediate joint injection or aspiration
20610
Large joint injection or aspiration
20611
Ultrasound guided joint injection or aspiration
Small joint
Fingers and toes
Intermediate joint
Wrist elbow ankle
Large joint
Shoulder hip knee
Aspiration
Removal of fluid from a joint
Injection
Medication delivered into a joint
Aspiration and injection
Same CPT code used
Ultrasound guidance
Requires CPT 20611
Fluoroscopy guidance
Coded separately if documented
Medication coding
J codes reported separately
Bilateral joint injections
Modifier 50
Multiple joints same session
Modifier 59 or XS
E/M with joint injection
Modifier 25
Local anesthesia
Included in joint injection code