# CPT 20611

> Medicare paid $101.19 for CPT 20611 in the office (non-facility) setting and $61.41 in a facility under the Q4 2021 Physician Fee Schedule, effective October 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2021, when it increased 4.6%.

## What it is

Injection of medication into, or drainage of fluid from, a large joint such as the knee, shoulder, or hip, with an ultrasound probe used to watch the needle reach its target. The ultrasound is not incidental: a permanent image is captured and a report of the guidance is written. This is the guided sibling of the same procedure done by feel and surface landmarks alone.

## Selected release

- Release: Q4 2021 (2021 D)
- Effective: October 1 – December 31, 2021
- Status indicator: A
- Office (non-facility) national allowed amount: $101.19
- Facility national allowed amount: $61.41
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.10
- Office (non-facility) practice expense RVU: 1.65
- Facility practice expense RVU: 0.51
- Malpractice RVU: 0.15
- Conversion factor: 34.8931
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2021)
- CMS file: https://www.cms.gov/files/zip/rvu21d.zip
- Parsed file: PPRRVU21_OCT.csv, row 6,321
- Canonical page: https://localishealth.com/cpt/20611/2021/A
- Release-specific citation URL: https://localishealth.com/cpt/20611/2021/D
- Last significant update: 2026-08-04T03:10:59+00:00