Podiatry Payment Information

The following chart provides payment information that is based on the national unadjusted Medicare physician fee schedule for the ultrasound services discussed. Payment will vary by geographic region.

The information provided below is intended to assist providers in determining appropriate codes and the other information for reimbursement purposes. It represents the information available to United Medical Instruments as of January 2012. Subsequent guidance might alter the information provided. United Medical Instruments disclaims any responsibility to update the information provided. It is the provider’s responsibility to determine and submit appropriate codes, modifiers, and claims for the services rendered. Before filing any claims, providers should verify current requirements and policies with the applicable payer.

Podiatry Ultrasound CPT Codes and Descriptions

Ultrasound Evaluation

2012 Medicare Physician Fee Schedule
CPT Code
 Code Description

Global in Office Allowable
76881 Ultrasound, extremity, nonvascular, real-time with image documentation; complete $123.22
76882 Limited ultrasound, extremity, non-vascular, real time with image documentation $34.72
76942 U/S guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation $206.61
93922 Non-invasive physiologic studies of upper or lower extremity arteries, single level, bilateral (eg, ankle/brachial index, waveform analysis, volume plethysmography, transcutaneous oxygen tension measurement) $104.16
93926 Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study $207.29

Procedures

2012 Medicare Physician Fee Schedule
CPT Code
 Code Description

Global in Office Allowable
20550 Injection(s), Tendon sheath/ligament $57.18
20551 Injection(s), Tendon origin/insertion $58.54
20552 Injections (s), Single to multiple trigger point(s) one or two muscle(s) $53.78
20553 Injections (s), Single to multiple trigger point(s) three or more muscle(s) $61.61
20600 Arthrocentesis, aspiration and/or injections; small joint or bursa (e.g. fingers, toes) $54.12
20605 Arthrocentesis, aspiration and/or injections; intermediate joint or bursa (e.g. temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa) $57.18
20610 Arthrocentesis, aspiration and/or injection; major joint or bursa (e.g. shoulder, hip, knee joint, subacromial bursa) $69.78


CPT™ five digit codes, nomenclature and other data are Copyright 2010 American Medical Association. All rights reserved. No fee schedules, basic units, relative values or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use.

Deficit Reduction Act of 2005 Adjustment has not been figured into the above global fees.