When I first started coding for the clinic I work for, I was always told to only charge for the 20610. In the past month, I have been asked to go back for the past year and bill Medicare/Medicaid for an office visit along with the 20610. EHR notes show that the patient only came in for a joint injection. I feel by billing for the office visit and 20610 that we are double dipping. Most commercial insurance have been denying the office visit saying that it is part of the injection charge. Anyone else have this issue when billing office visit and 20610 together?