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Wiki Synvisc For Intra-articular Injection

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PennyG

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Attempting To Bill Bilateral Synvisc Injections. Medicare Has Paid For 20610 50, But Cannot Get The Synvisc Paid. Have Billed J7322 X 2 And Also J7322 Rt And J7322 Lt.

Any Suggestions?
 
Synvisc

Sorry, Guess That Would Have Helped.

We Are Using 715.16.

Is There A Medicare Coverage Article For This? I Have Been Unable To Locate One.
 
NC Medicare:

The only approved indication for this type of treatment is osteoarthritis of the knee as supported by one of the following ICD-9 codes that should submitted of the claim for this service:

715.16 Osteoarthrosis, localized, primary, lower leg

715.26 Osteoarthrosis, localized, secondary, lower leg

715.36 Osteoarthrosis, localized, not specified whether primary or secondary, lower leg

715.96 Osteoarthrosis, unspecified whether generalized or localized, lower leg
 
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