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MSK US REIMBURSEMENT

Novitas Solutions, Inc.:  AMA code Manager

CPT Code

Description

Average Reimbursement

76881

Ultrasound, extremity, nonvascular, real-time with image documentation; complete

Participating Amount $118

Non-Participating Amount $112

76882

Ultrasound, extremity, nonvascular, real-time with image documentation; limited, anatomic specific

Participating Amount $36

Non-Participating Amount $35

76942

Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation

Participating Amount $61

Non-Participating Amount $57

20550

Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar “fascia”

Participating Amount $60

Non-Participating Amount $57

20551

Injection(s); single tendon origin/insertion

Participating Amount $60

Non-Participating Amount $57

20552

Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)

Participating Amount $56

Non-Participating Amount $53

20553

Injection(s); single or multiple trigger point(s), 3 or more muscle(s)

Participating Amount $65

Non-Participating Amount $62

20604

Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting

Participating Amount $73

Non-Participating Amount $70

20606

Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting

Participating Amount $81

Non-Participating Amount $77

20611

Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting

Participating Amount $94

Non-Participating Amount $89

0213T

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, cervical or thoracic; single level

Participating Amount $0

Non-Participating Amount $0

0214T

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, cervical or thoracic; second level (List separately in addition to code for primary procedure)

Participating Amount $0

Non-Participating Amount $0

0215T

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, cervical or thoracic; third and any additional level(s) (List separately in addition to code for primary procedure)

Participating Amount $0

Non-Participating Amount $0

0216T

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, lumbar or sacral; single level

Participating Amount $0

Non-Participating Amount $0

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