Wiki Input on 20610&77002, vs. 23350&77002

Pinky726

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River Falls , WI
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We are currently billing the 20610 along with 77002 for fluoro. guided injections w/contrast into the shoulder joint for viscosupplementation. Currently our knee injections are exactly the same, but billed with 27370&77002. We recently looked into the more specific code of 23550 for the shoulder injections, and have had some concerns with it being billable along with the 77002.

Does anyone have any input?
We are a clinic not facility, specialty not general, and all services are performed by the same physician.
The shoulder would be billed with the DX codes M19.011 and M19.012.
Our knees are billed with DX coeds M17.0, M17.12, M17.11.

Thanks for you input!
 
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