Results 1 to 5 of 5

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
    Location
    Columbia, MO
    Posts
    12,531
    Default
    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
    Default
    Thank you for your input, I will give it a try. I really appreciate it.

  4. #4
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    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
    Location
    Columbia, MO
    Posts
    12,531
    Default
    Absolutely! Lisa is correct, I have seen a lot of denials when billed with 2 units.

Similar Threads

  1. knee xray coding question
    By tschrader in forum Orthopaedics
    Replies: 2
    Last Post: 06-26-2014, 04:01 PM
  2. 2 injections same knee
    By raidaste in forum Orthopaedics
    Replies: 1
    Last Post: 01-14-2013, 07:21 AM
  3. Coding question injections
    By lopezk89 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 04-01-2011, 04:23 PM
  4. Coding pain after knee replacement surgery question.
    By Stvns589 in forum Diagnosis Coding
    Replies: 4
    Last Post: 09-19-2008, 03:09 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.