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Wiki Need pain management coding help!!
- Thread starter mirandah
- Start date
NIENAJADLY
Networker
pain management coding help
Mirandah, it's a combo code. If you do one or the other or both, it's only billed once (unless you're doing both knees, then it's with a -50 modifier). Hope that helps.
Kellie
Mirandah, it's a combo code. If you do one or the other or both, it's only billed once (unless you're doing both knees, then it's with a -50 modifier). Hope that helps.
Kellie
RebeccaWoodward*
True Blue
Correct....
Per CPT Assistant.......
Question
When aspiration of fluid from the knee joint is performed as well as injection of medication into the knee joint, can code 20610, Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa), be reported two times, once for the aspiration of fluid and once for the injection of medication?
AMA Comment
From a CPT coding perspective, the term "and/or" in the code descriptor of code 20610 indicates that the code includes the performance of one or all of the procedures described in the same major joint or bursa. Therefore, code 20610 should only be reported one time when both aspiration and injection are performed in the same major joint or bursa.
Per CPT Assistant.......
Question
When aspiration of fluid from the knee joint is performed as well as injection of medication into the knee joint, can code 20610, Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa), be reported two times, once for the aspiration of fluid and once for the injection of medication?
AMA Comment
From a CPT coding perspective, the term "and/or" in the code descriptor of code 20610 indicates that the code includes the performance of one or all of the procedures described in the same major joint or bursa. Therefore, code 20610 should only be reported one time when both aspiration and injection are performed in the same major joint or bursa.