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Shortcakecoder101

Networker
Messages
86
Best answers
0
Hi, I'm billing the following the CPT'S...20605, 96372, 96372, J1100 and J1885. The claim initially denied for procedure codes 20605 and 96372. I also added an LT modifier to the aspiration, but it still denied. I appreciate any help!!!

Thanks!
 

Henson65

Networker
Messages
27
Best answers
0
Hi, I'm billing the following the CPT'S...20605, 96372, 96372, J1100 and J1885. The claim initially denied for procedure codes 20605 and 96372. I also added an LT modifier to the aspiration, but it still denied. I appreciate any help!!!

Thanks!
96372 is a column 2 code to 20605 and modifier indicator of 1
 

Chelle-Lynn

True Blue
Messages
626
Location
Modesto, CA
Best answers
0
A general description of the 20605 procedure is...

Arthrocentesis is performed to remove fluid from a joint or bursa in order to diagnose the cause of joint effusion and/or to reduce pain caused by the excess fluid. Injection of a joint or bursa may be performed in conjunction with the arthrocentesis procedure and is typically performed using an anti-inflammatory medication such as a steroid to reduce inflammation of the joint or bursa. The skin over the joint is cleansed. A local anesthetic is injected as needed. A needle with a syringe attached is inserted into the affected joint or bursa. Fluid is removed and sent for separately reportable laboratory analysis. This may be followed by a separate injection of medication into the joint or bursa.

So generally the 96372 is built into the 20605 code unless there is a significant and separate reason for an additional injection beyond this procedure.
 
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