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Synvisc For Intra-articular Injection

  1. #1
    Default Synvisc For Intra-articular Injection
    Medical Coding Books
    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?
    penny0222

  2. #2
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    What diagnosis are you using?
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Default 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.
    penny0222

  4. #4
    Location
    North Carolina
    Posts
    3,126
    Default
    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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