I have a question regarding billing for Aspiration/Injection (eg, shoulder, hip, knee joint, subacromial bursa). My office is confused on how to code for the following scenario to Medicare: Injection of right knee and right hip, same day injection of the left knee and left hip. How would we code this?
20610-50
20610-50-59
20610-x 4
According to an article I found on CMS the following would apply:
"For procedure 20610, modifier 50 is appropriate when billing a bilateral injection only. Modifier 50 is usually not appropriate when billing a bilateral injection along with an injection in another body area. The correct billing of this scenario would be to list 20610 on one line of the CMS-1500 claim from with 3 indicated in the unit field. In situations where a provider performs bilateral injections (the right and left knee) and provides no other injections the bilateral services should be billed on one lien as 20610-50 with 1 unit."
What does this mean do we bill the four units I am so confused also, if you have any direct website links that would help.
thank you
Theresa
20610-50
20610-50-59
20610-x 4
According to an article I found on CMS the following would apply:
"For procedure 20610, modifier 50 is appropriate when billing a bilateral injection only. Modifier 50 is usually not appropriate when billing a bilateral injection along with an injection in another body area. The correct billing of this scenario would be to list 20610 on one line of the CMS-1500 claim from with 3 indicated in the unit field. In situations where a provider performs bilateral injections (the right and left knee) and provides no other injections the bilateral services should be billed on one lien as 20610-50 with 1 unit."
What does this mean do we bill the four units I am so confused also, if you have any direct website links that would help.
thank you
Theresa
