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Coding question for Knee Injections

  1. #1
    Question Coding question for Knee Injections
    Medical Coding Books
    We have a patient that as DJD in both knees, she brought in her own Synvisc to be injected into both knees. The CPT code for both injections will be 20610 x 2 and dx for 715.96 for DJD, but my question is since she is brought in her own medicine, I will not be billing for that, what V or E code would I use to show that we injected Synvisc so medicare will not deny? Or do I need to print the claim to paper and send it in w/office notes showing that the patient brought her own medicine? Any help you have on this will be greatly appreciated.

    Thank you,
    Marla K

  2. #2
    Columbia, MO
    All you need is the 20610 50 for bilateral and the dx code. It is very common for pts to bring in their own meds these days. We have never added anything additonal for this and have never had a problem.

  3. #3
    Thank you for your input, I will give it a try. I really appreciate it.

  4. #4
    Greeley, Colorado
    And remember, bilateral joint injections for Medicare are coded with modifier -50 x 1 unit. If you code 2 units it will be denied for too many. Code:
    20610 -50 x1 $ = 150% of the Medicare fee schedule.
    Lisa Bledsoe, CPC, CPMA

  5. #5
    Columbia, MO
    Absolutely! Lisa is correct, I have seen a lot of denials when billed with 2 units.

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