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coding 27096 & 20610

  1. #1
    Question coding 27096 & 20610
    Medical Coding Books
    Is it okay to code 27096 (with 77003) & 20610 in the same visit? Per the notes the they are getting the SI Joint injection with fluoro and a seperate needle is injected in the hip. This is also being done in an office setting.
    We had an audit done and we were told that this is not okay to do?? Just thought I would check around for any advice.

  2. #2
    Albany, New York
    NCCI Edits state that CPT 20610 is a component of Comprehensive code 27096, that is allowed if an appropriate modifier is present.

    If the two procedures are separate and distinct procedures, you can code 20610-59 in addition to the 27096.
    Karen Maloney, CPC
    Data Quality Specialist

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