Wiki 20610 inj

[mconnolly]

need help with denial from Medicare. My doctor billed 20610-RT, w/dx 726.5 (hip) and 20610-RT, w/dx 715.16 (leg). We billed with a 59 modifier on the 2nd 20610 and got paid on that one, but the first one was denied as duplicate. What is the proper way to bill these 2 codes, 2 units, 51 modifier or do we appeal that injection was given in 2 separate locations. Thanks, would appreciate any advise.

 

[joanne71178]

Appeal the 20610 RT 59 for the Knee. When entering charges in the future you can add the body area to Line 19. It seems the MCR did not look at the diagnosis codes.

diagnosis codes, diagnosis coding