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Cpt 20610 - I am wondering how to code

  1. #1
    Default Cpt 20610 - I am wondering how to code
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    I'm wondering how to code for two knee joint injections of triamcinolone & lidocaine (40mg) on either side of the same knee (right). Can this be considered “bilateral”? Would I code for two injections?
    John C. Sim, CPC

  2. #2
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    No, this would not be considered bilateral. You should code 20610x1. The actual number of injections into the same knee don't matter. If you did an injection into both the R and the L knee, then you could code bilat.
    Walker Bachman, CPC, CPPM

  3. #3
    Location
    Sumter, SC
    Posts
    20
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    I agree with the statement above. This would not be considered bilateral.

  4. #4
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    Can I ask why it wouldn't be 2x 20610 on the right side if they were two separate injections with a full unit of meds in each one? (not two injections with the same unit of meds) Thank you.

  5. #5
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    Because you are still only treating one knee...
    Walker Bachman, CPC, CPPM

  6. #6
    Location
    North Carolina
    Posts
    3,126
    Default
    I agree...20610 indicates that the code includes the performance of all of the procedures described in the same major joint or bursa.

    There is a CPT Assistant on this for reference.

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