Question 20610 4 major joints

lveburg

New
Messages
5
Location
Stromsburg, NE
Best answers
0
What is the proper way to code 20610 when both shoulders and both knees are injected on the same day? The payer is Medicare. We are in Nebraska. We have tried 20610 50 (1 unit) on one line and 20610 59, 50 (1 unit) for the second line; this has been denied.
 

vanessamoldovan

Networker
Local Chapter Officer
NAB Member
Messages
67
Location
Des Plaines, IL
Best answers
0
What is the proper way to code 20610 when both shoulders and both knees are injected on the same day? The payer is Medicare. We are in Nebraska. We have tried 20610 50 (1 unit) on one line and 20610 59, 50 (1 unit) for the second line; this has been denied.
Iveburg,

What is the denial reason and what are the MUE guidelines for this code?

Vanessa Moldovan, CPC, CPMA, CPPM, CPC-I
vanessa.moldovan@aapcnab.com
 

iowagirl77

Guru
Messages
138
Location
Cedar Rapids, IA
Best answers
0
If they are particular about using the X mods, you might try using XS instead of 59. Also make sure that there is a different diagnosis pointer for each line. If all of that is correct, appeal with documentation.
 

lveburg

New
Messages
5
Location
Stromsburg, NE
Best answers
0
Iveburg,

What is the denial reason and what are the MUE guidelines for this code?

Vanessa Moldovan, CPC, CPMA, CPPM, CPC-I
vanessa.moldovan@aapcnab.com
What is the proper way to code 20610 when both shoulders and both knees are injected on the same day? The payer is Medicare. We are in Nebraska. We have tried 20610 50 (1 unit) on one line and 20610 59, 50 (1 unit) for the second line; this has been denied.
The denial was duplicate. I thought the MUE was 3, but someone else said only 2.
 

mandyh

New
Messages
5
Best answers
0
what about when both hips are injected.... left and right in the bursa....would we bill 20610-50 or 20610-LT and 20610-RT? Or does it vary by payer?
 
Top