Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Orthopaedics
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 05-17-2012, 09:58 AM
raidaste's Avatar
raidaste raidaste is offline
Guru
 
Join Date: Apr 2007
Posts: 106
raidaste is on a distinguished road
Default Joint Injection

I have a physician that documented giving a patient bupivacaine and kenalog into the left greater trochanteric bursa as a trigger point injection. My question is do I code this as an arthrocentesis 20610 or a trigger pt 20552?
__________________
Stephanie, CPC, HCS-D
Reply With Quote
  #2  
Old 05-17-2012, 10:31 AM
ollielooya ollielooya is offline
True Blue
 
Join Date: Apr 2007
Location: Everett, WA
Posts: 708
ollielooya is on a distinguished road
Default

My understanding is that the 20552 would be utilized if there were muscles being injected and according to my CPT Lay Description Book from Ingenix the 20610 might be considered. Within the description of 20600-20610 directions state to: report 20610 for a major joint or bursa injection or aspiration such as of the shoulder, hip, knee joint, or subacromial bursa.

Hopefully others more knowledable will address/correct this as well.
__________________
Suzanne E. Byrum CPC
Noridian
NGS
Reply With Quote
  #3  
Old 05-17-2012, 11:24 AM
mkmgt001's Avatar
mkmgt001 mkmgt001 is offline
Networker
 
Join Date: Apr 2007
Location: Green Bay, WI
Posts: 56
mkmgt001 is on a distinguished road
Default

I agree with Suzanne. Trigger point injections involve the injection of muscles. The injection of a bursa would be represented by CPT 20600-20610. In your case, since the left greater trochanteric bursa is being injected, I would code CPT 20610.

Mary Kittredge, CPC
Reply With Quote
  #4  
Old 05-18-2012, 08:15 AM
melzinser's Avatar
melzinser melzinser is offline
Networker
 
Join Date: Apr 2007
Location: Columbus, OH
Posts: 62
melzinser is on a distinguished road
Smile Check the diagnosis.

I have advised my providers that when they are unsure about the correct code, and specifically this very same situation, just check the diagnosis first, and that will lead you to the right code. They were injecting patients with greater trochater bursitis or GTPS, greater trochanteric pain symdrome, ICD 9 726.5. That helped them see that the 20610 was the correct code, not the 20552.
__________________
Melanie Zinser, RMC, CPMA, CPC-I
Coding Educator & Quality Analyst
OhioHealth Physician Group
melanie.zinser@ohiohealth.com
Reply With Quote
  #5  
Old 05-18-2012, 08:48 AM
mkmgt001's Avatar
mkmgt001 mkmgt001 is offline
Networker
 
Join Date: Apr 2007
Location: Green Bay, WI
Posts: 56
mkmgt001 is on a distinguished road
Default

Great advice! Glad you were able to help make things clear with your providers.

Happy Friday!!
Mary Kittredge, CPC
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 12:22 PM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC