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Denials on 20610

nneecole

Networker
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Is anyone getting denials on 20610? (This was to Aetna/Coventry Medicare). I billed a 20610 RT and J3301 x 4 with dx M70.61. The denial was 1952 ( No valid LCD). I go to check the LCD for 20610 and it is gone. I can't find the LCD for 20600 or 20605 either. I am so confused. I looked up the CCI edits and the 20610 is still in there and doesn't mention any changes besides adding the imagining codes. I thought the 20610 could be used for bursitis, effusion and osteoarthritis? Regardless of what medication you injected. I then went to the LCD for 20552 and 20553 and bursitis is on there. I am at a loss. Thank you for any help.
Necole
 
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20610 describes aspiration (removal of fluid) from, or injection into, a major joint (defined as a shoulder, hip, knee, or subacromial bursa), or both aspiration and injection of the same joint. The procedure may be performed for diagnostic analysis and/or to relieve pain and swelling in the joint.
If you google hip joint, you find out that it consists of the femoral head and the acetabulum. Trochanter of the femur is located outside of this joint. Trochanter bursa covers the bony point of the hip bone called the greater trochanter. Inflammation of this bursa is called trochanteric bursitis. That's why we should use trigger point injection -20552 or 20553
 

nneecole

Networker
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You just blew my mind. I just took a CEU class last September that told us the complete opposite. I can still use the 20610 for osteoarthritis of the hip, knee and shoulder with Kenalog or Depo Medrol? Just making sure.
 
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twdevore

Contributor
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LCD for 20610

We're getting denials for 20610 stating that the diagnosis is not appropriate based on LCD. I go to the LCD and am confused. How do I search for covered diagnoses? Am I overlooking something?
 

sherland

New
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20610

where did the doctor put the injection in the joint/bursa or tendon/tendon sheath or muscle?
dls
 

TPeniston61

Contributor
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Denials for 20610

In our practice, we can only use 20610 for injection of Kenalog, J3301, with a diagnosis code of osteoarthritis.
 
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