Wiki 20610 MEDICARE CODING PROBLEMS

[cks13071]

I have a patient who came in with bilateral knee pain and right shoulder pain.
Doctor Injected 40 MG Kenelog into RT knee, 40 MG Kenelog into LT knee, & 40 MG Kenelog into RT shoulder.
How can I code this properly for it to go through with Medicare Primary and BCBS secondary?

I tried
J3301 - 12 - 120 MG Kenelog
20610 - 2 - mod 50 - 80 MG Kenelog LT & RT Knee
20610 - 1 - mod 59 - 40 MG Kenelog RT shoulder

I have tried more then this, can someone please help?

 

[bdcoyne8]

I would code this as 20610-50, 20610-59-RT for our Medicare. 1 unit each. I don't know if that's what the 2 is on yours but where it is bilateral, I would not add the 2 units with a 50 modifier (unless that is how your MAC is wanting it).

This it how we code it and have not had issues in Idaho.

 

[cks13071]

I would code this as 20610-50, 20610-59-RT for our Medicare. 1 unit each. I don't know if that's what the 2 is on yours but where it is bilateral, I would not add the 2 units with a 50 modifier (unless that is how your MAC is wanting it).

This it how we code it and have not had issues in Idaho.

Thank you so much, that worked.