Wiki Meniscus Injection

[carriganm]

A provider in our office just started doing ligament and tendon injections. What I want to know is how to bill for a medial meniscus injection? I don't feel that the 20550 or the 20610 fit the description for this. In one visit she injected the MCL, LCL, the right knee capsule and the medial meniscus.

So I was going to bill
20550
20550,59
20610,59
but I don't know what to bill for the meniscus.

Any help would be fantastic! Thank you.

 

[daedolos]

Unfortunately, if all those injections were in the same knee joint, you can only charge 20610 once. You can charge multiple amounts for the injectable drug.

Peace
@_*
BTW, how did she visualize each ligament? If she used ultrasound, you could use 20611. If she used other documented means, look at the 770-- series for guidance.

 

[carriganm]

Unfortunately, if all those injections were in the same knee joint, you can only charge 20610 once. You can charge multiple amounts for the injectable drug.

Peace
@_*
BTW, how did she visualize each ligament? If she used ultrasound, you could use 20611. If she used other documented means, look at the 770-- series for guidance.

The MCL and the LCL are completely different structures from the knee joint, so I am under the impression I can bill those separately. I have not been able to find anything other than the surgical repair for the meniscus so I feel like that injection is going to be included with the 20610 injection code. Those are my thoughts...

 

[daedolos]

The MCL and the LCL are completely different structures from the knee joint, so I am under the impression I can bill those separately. I have not been able to find anything other than the surgical repair for the meniscus so I feel like that injection is going to be included with the 20610 injection code. Those are my thoughts...

https://med.noridianmedicare.com/do...Guidance/1d206be5-d097-45c3-a06a-c79c386c467d

http://www.radiologybillingcoding.com/2016/08/cpt-code-20610-billing-guide.html

https://www.aapc.com/blog/27495-problem-code-20610/

Peace
@_*
Hope this helps.

 

[carriganm]

https://med.noridianmedicare.com/do...Guidance/1d206be5-d097-45c3-a06a-c79c386c467d

http://www.radiologybillingcoding.com/2016/08/cpt-code-20610-billing-guide.html

https://www.aapc.com/blog/27495-problem-code-20610/

Peace
@_*
Hope this helps.

Thank you so much for those resources. The only thing that I came across after reading was if you do multiple injections to one anatomical 'joint' you can only report it once. So if for example if you aspirated and injected the joint, it would only be 1. Or if you injected the posterior and anterior right knee joint it would just be 1. This provider not only injected the joint, she also injected 2 completely different structures of the knee which are not defined in the 20610 code. She injected the MCL and LCL ligament which would be billed as 20550...