• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki 20610 Modifier 50

Create Wiki
A

Anduiza05

Networker
Messages
66
Location
Katy, TX
Best answers
0
I have a question regarding billing for Aspiration/Injection (eg, shoulder, hip, knee joint, subacromial bursa). My office is confused on how to code for the following scenario to Medicare: Injection of right knee and right hip, same day injection of the left knee and left hip. How would we code this?
20610-50
20610-50-59
20610-x 4
According to an article I found on CMS the following would apply:
"For procedure 20610, modifier 50 is appropriate when billing a bilateral injection only. Modifier 50 is usually not appropriate when billing a bilateral injection along with an injection in another body area. The correct billing of this scenario would be to list 20610 on one line of the CMS-1500 claim from with 3 indicated in the unit field. In situations where a provider performs bilateral injections (the right and left knee) and provides no other injections the bilateral services should be billed on one lien as 20610-50 with 1 unit."

What does this mean do we bill the four units I am so confused also, if you have any direct website links that would help. :confused:

thank you

Theresa
 
I would bill that scenario as follows

20610-50 (dx 719.45)
20610-50-59 (dx 719.46)

BUT.. based on the article you quoted, it would seem that 20610x4 would also be appropriate. I wish I could be more help on this one...
 
You must log in or register to reply here.
Top