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LCD/NDCs for a particular code

  1. Smile LCD/NDCs for a particular code
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    Can anyone out there help point me to an LCD or an NDC for the procedure 20610-Therapeutic injection of a major joint (knee, hip, shoulder)? I have been searching for one and am unable to find one. Thank you, Mindy Smith, RN CPC

  2. #2
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    Quote Originally Posted by scottishrn View Post
    Can anyone out there help point me to an LCD or an NDC for the procedure 20610-Therapeutic injection of a major joint (knee, hip, shoulder)? I have been searching for one and am unable to find one. Thank you, Mindy Smith, RN CPC
    The LCDs for this are classified under the substance being injected rather than the injection procedure, so it may be easier to find if you search by the HCPCS of the drug.
    Here are a few of them:

    NGS:
    https://www.cms.gov/medicare-coverag...=gAAAACAAAAAA&

    WPS:
    https://www.cms.gov/medicare-coverag...=gAAAACAAAAAA&

    FCSO:
    https://www.cms.gov/medicare-coverag...=gAAAACAAAAAA&
    Thomas Field, CPC, CEMC

  3. #3
    Default Clarification
    I am looking for the rules to clarify billing all materials injected during a procedure (20600-20610) i.e "Provider injects 1 mL lidocaine superolateral portal after cold spray is utilized, then 1 mL of dexamethasone, 4mL of lidocaine and 4 mL of marcaine are placed in the joint of the right knee". Normally the numbing agent used, in this case 1 mL lidocaine injected superolaterally would not be paid, but what about the additional 8 mL of medication used internally?

  4. Default LCD/NDC for 20610
    Thank you for the information, I will try that, scottishrn

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