Wiki procedure 20610 different sites same day

[juneallegrezza]

We are coding for medicare. The provider performed joint injections bilaterally on the shoulders and the knees. We coded it as
20610 modifier 50 (for knees)
20610 modifier 50, 51 (for shoulders)

Medicare paid for the first line but denied the second line as - Payment adjusted because the payer deems the information submitted does not support this many services.
our diagnosis for the knees was on line 1 and diagnosis for the shoulder on line 2.

We previously submitted the second line with modifier 59 but that was denied as well.
Any suggestions on how we can get paid for the second line.

Thanks

 

[nickelclaw]

Did you bill 59 and 51? If so try without the 51. May need to send OP note with it as well

 

[juneallegrezza]

Yes the first bill went out with 20610 modifier 50 first line
and 20610 modifier 50 59 second line they denied that second line as well