Wiki Wrist Joint and Tendon Injection

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PennyG

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My provider injected the wrist tendon sheath and then, moved the needle around to the wrist joint and injected the wrist joint. Will this be considered two injections? A tendon sheath injection and a wrist joint injection or just one injection since the needle was not withdrawn?
 
We are on the fence about whether this will be billed as one procedure or two. Hoping someone can help us.
 
Hey, Orthocoderpgu, I now see your response in my inbox. Thank you. The codes we are looking at utilizing are 20605 and 20550. When I look at the NCCI edits, it says I can bill both codes but append a modifier on one of the codes. We are just questioning whether the procedure should be billed as one procedure or two procedures, because the needle remained in the tissue of the wrist, just moved around from the tendon sheath to the wrist joint.
 
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