Results 1 to 9 of 9

injection(s) question

  1. Question injection(s) question
    Medical Coding Books
    Hello all,

    I have hip intra-articular injection and then does a trochanteric bursa injection both on the right. Dx's OA hip and trochanteric bursitis.
    This is a Medicare patient....ok to bill 20610-RT and 20610-59, RT


  2. #2
    I'm going to go with only reporting once...I know this is for a knee..and for aspiration/injection but I think the concept is still there.

    CPT Assist:
    March 2001 page 10
    Coding Consultation

    Musculoskeletal System, Surgery, 20610 (Q&A)


    When aspiration of fluid from the knee joint is performed as well as injection of medication into the knee joint, can code 20610, Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa), be reported two times, once for the aspiration of fluid and once for the injection of medication?

    AMA Comment

    From a CPT coding perspective, the term "and/or" in the code descriptor of code 20610 indicates that the code includes the performance of one or all of the procedures described in the same major joint or bursa. Therefore, code 20610 should only be reported one time when both aspiration and injection are performed in the same major joint or bursa.
    Mary, CPC, CANPC, COSC

  3. Default More info
    I my op note states:
    after hip joint injection given attention was directed to the right trochanteric bursa. An injection of 20 mg triamcinolone with 2cc of 0.5% perservative-free bupivacaine was injected. The procedure was well tolerated and no complications.

    Since the injection given in joint and bursa and code
    states to say 20610 x 2???

    Thanks again!

  4. #4
    Columbia, MO
    Yes you can bill for both as you stated in your first post, the reason they do not allow the aspiration and injection has to do with how it is performed, most of my docs when they do the aspiration and then injection are using the same site, which then makes it billable only once.

    Debra A. Mitchell, MSPH, CPC-H

  5. Default
    Thanks Ladies!!! Have a good weekend

  6. #6
    medicare will not accept units you have to bill each one seperate i would attempt to add 59 mod to the second injection, however more than likely one will be denied as a duplicate of the other

  7. Default
    Thanks that is how I billed it

  8. Default
    Hi all,
    can we bill 20610-RT with 2 units for injection in RT knee and RT shoulder?

    Last edited by; 05-21-2014 at 01:40 AM.

  9. Default
    Quote Originally Posted by View Post
    Hi all,
    can we bill 20610-RT with 2 units for injection in RT knee and RT shoulder?

    Report only a single unit of 20610 for each joint treated, regardless of how many aspirations and/or injections occur in a single joint. For example, if the physician administers two injections, one on either side of the right knee, you would report 20610 x 1. The Centers for Medicare & Medicaid Services (CMS) instructs that you should also ?Indicate which knee was injected by using the RT (right) or LT (left) modifier (FAO-10 electronically) on the injection procedure (CPT? 20610).

    Thank you...

Similar Threads

  1. Injection Question
    By cwilson3333 in forum Internal Medicine
    Replies: 3
    Last Post: 10-14-2011, 02:22 PM
  2. Injection question
    By MsMaddy in forum Family Practice
    Replies: 0
    Last Post: 04-29-2011, 09:26 AM
  3. Injection Question
    By schuchmanb in forum Interventional Radiology
    Replies: 0
    Last Post: 01-12-2011, 06:01 AM
  4. Injection Question
    By schuchmanb in forum Orthopaedics
    Replies: 0
    Last Post: 01-06-2011, 05:16 AM
  5. Injection Question
    By missyah20 in forum Anesthesia
    Replies: 2
    Last Post: 04-23-2009, 06:54 AM

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?


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.