How to code bilateral shoulder and AC joint injection

[swamprat]

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2x 20610-50
77002
23350-50

what say you ?

 

[lobelsteve]

Dont inject AC joints. No sustained relief.

Some dufus in PMR Clinics NA published a chapter on the AC joint. 2001-2003

 

[SSdoc33]

Ac joint is a medium joint 20605.

Injections can help diagnostically

 

[painfree23]

Ac joint is a medium joint 20605.

Injections can help diagnostically

what do u do when u diagnose it?

 

[SSdoc33]

what do u do when u diagnose it?

Depends. If there is an inferior spur then a subacromial deconpression is an option. It its just ac then a distal clavicle excision could be done. Neither surgery is. a slam dunk. If you can confirm AC joint pain then it also helps with specific PT

 

[mid|ine]

I don't do many AC joint injections. However I had a bank exec come to me on high dose oxycontin for shoulder pain with radiation into the axila. I tried a bunch of different stuff. Finally I did an AC injection. 100% relief and he came of the oxycontin (which was not coming from me).

 

[TIVAndy]

2x 20610-50
77002
23350-50

what say you ?

you code arthrogram for shoulder injection?