M Doctor is billing a 20551 and I do not agree with the procedure she chose. I think she should have billed a 20610 because she injected into the left trochanteric bursa.
Her note indicates Patient with rheumatoid arthiritis and currently on Plaquenil therapy. According to the patient she is up to date with her eye examination. She is on relatively low-dose 200 mg once a day. With no active peripheral joint synovitis we'll not consider putting her back on methotrexate typpe of medication. For the tronchanteric bursitis she was prepped in a usual sterile manner. Verbal consent was obtained.40 mg of Kenalog with 2cc 1% lidocaine was infiltrated into her left trochanteric bursa. She tolerated the procedure well. No complication.
My question is this..... because she is injecting into a major joint trochabnteric bursa shouldn't she be billing a 20610, rather than 20551. The patient has trochanteric burisitis is that why the doctor may be choosing 20551?, please help
Her note indicates Patient with rheumatoid arthiritis and currently on Plaquenil therapy. According to the patient she is up to date with her eye examination. She is on relatively low-dose 200 mg once a day. With no active peripheral joint synovitis we'll not consider putting her back on methotrexate typpe of medication. For the tronchanteric bursitis she was prepped in a usual sterile manner. Verbal consent was obtained.40 mg of Kenalog with 2cc 1% lidocaine was infiltrated into her left trochanteric bursa. She tolerated the procedure well. No complication.
My question is this..... because she is injecting into a major joint trochabnteric bursa shouldn't she be billing a 20610, rather than 20551. The patient has trochanteric burisitis is that why the doctor may be choosing 20551?, please help