Wiki 20610 x 3 question

[CoderKathy66]

A patient had 3 cortisone shots--bilateral knees and right shoulder. The provider gave right, left knee pain and right shoulder pain as diagnosis. I billed these separately given the diagnosis were separate, meaning I don't have a bialteral knee pain code. Should I have billed it as bilateral using both the diagnosis'? Also, would J1010 be on one line with the total mg administered 80mg? Final question, the MUE is 2. Would the shoulder be paid since the charges now are on one line? I believe 20610-50 would only be paid 150%...I don't do these types of scenarios and appreciate any input. Thanks!

 

[flipflop40@verizon.net]

I’m assuming you got your answers since this was from June but, I would code this as 20610–50 for the knees and 20610 – 59, RT for the shoulder (2 lines). Bill the medication as the total for all three injections.

there is no bilateral knee pain icd-10, so you would use both pain in left and pain in right knee.