Anesthesia Coding Alert
Only Submit 20552 and 20610 Together if Separate Locations
Question: The representative with one of our insurance companies says that 20552 is bundled into 20610. Is this true?
Answer: The insurance representative is correct. According to the latest Correct Coding Initiative (CCI) edits, you cannot bill 20552 (Injection[s]; single or multiple trigger point[s], 1 or 2 muscle[s]) with 20610 (Arthrocentesis, aspiration and/or injection; major joint or bursa [e.g., shoulder, hip, knee joint, subacromial bursa]) in the same anatomic location.
Pay attention: If the injections are administered in different anatomic locations, you can report both codes. However, because code 20552 is a Column 2 code for 20610, append a modifier to 20552 to differentiate the services and override the CCI bundle.
New Jersey Subscriber
Anesthesia Coding Alert
- CCI Edits:
Say Good-Bye to Reporting Anesthesia With Needle EMGs
Plus: Pay close attention to modifier indicators in CCI 19.0. The first round of Correct [...] - ICD 10:
Follow These 4 Steps to Fix Neck of Femur Fracture Coding
Top tip: Teach providers to document side and type to avoid ‘unspecified’. When your anesthesia [...] - Compliance:
Verify That Your ERX System Meets Requirements, and Earn Extra Pay
Good news: It’s not too late to avoid further pay hits in 2014. Whether your [...] - You Be the Coder:
Easily Handle Multiple Placements for 01967
Question: I’m coding for a case where the patient was given two labor epidurals within [...] - Reader Question:
Consider Moderate Sedation Options for PO Anesthesia
Question: Our provider administers epidural steroid injections and pain pump trials in his office procedure [...] - Reader Question:
Few Details for Venous Insufficiency Lead to 459.81
Question: A CRNA performed an IV insertion on a patient who was in the GI [...] - Reader Question:
Time, Other Documentation Support Using 99149
Question: What is the correct way to bill for CPT® code 99149? Do insurance companies [...] - Reader Question:
Only Submit 20552 and 20610 Together if Separate Locations
Question: The representative with one of our insurance companies says that 20552 is bundled into [...]
