Wiki Bilateral

[lump2009]

Okay if the dr did a bilateral knee joint inection x 2 and a bilateral synvisc injection x 2 I billed 20610-50 and J7325-50 was that billed correctly or incorrectly

 

[tmoenjatl@yahoo.com]

Trisha billing Coordinator

Medicare told me I needed to put rt, lt on each injection and 59 modifier on the 2nd injection in order to get paid correctly, for example: 20610 rt, 20610 lt,59.

 

[dwaldman]

HCPCS
J7325 for Synvisc-One and SYNVISC, per 1mg

Synvisc-One 48 in Units field of CMS-1500 Claim form or electronic equivalent

SYNVISC 16 in Units field of CMS-1500 Claim form or electronic equivalent

http://www.synvischcp.com/reimbursement/synvisc-connection.aspx