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Need pain management coding help!!

  1. Smile Need pain management coding help!!
    Medical Coding Books
    The dr. Preformed a aspiration of the knee and then did a knee injection. Can i bill for both...or is it a combo? I did not see anything in the guidelines. Any information would be appreciated. Thanks in advance.
    Last edited by mirandah; 09-21-2009 at 11:12 AM. Reason: delete...found the answer

  2. #2
    Default pain management coding help
    Mirandah, it's a combo code. If you do one or the other or both, it's only billed once (unless you're doing both knees, then it's with a -50 modifier). Hope that helps.


  3. #3
    North Carolina

    Per CPT Assistant.......


    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.

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