Yes, CPT code 23350 can be billed without separate imaging guidance codes, but typically imaging guidance (fluoroscopy, CT, or ultrasound) is utilized for precise needle placement and billed separately.

CPT Code 23350: Under Introduction or Removal Procedures on the Shoulder
Learn about CPT code 23350 for shoulder joint contrast injections, including documentation, billing guidelines, related codes, and FAQs.
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Yes. CPT 23350 specifically covers injecting a contrast dye into the shoulder joint. MRI shoulder arthrography imaging (CPT 73222) performed after the injection is billed separately, clearly documented as a separate procedure.
Report CPT 23350 twice, using modifiers -LT (left shoulder) and -RT (right shoulder) to indicate injections performed on each shoulder clearly. This ensures accurate reimbursement for bilateral procedures.
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