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bilateral multiple injections

  1. #1
    Question bilateral multiple injections
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    I have a good one. My physician injected bilateral hips and multiple joints in each hip. so the physician did both trochanteric joints and both posterior superior joints. Would you code it 20610 50 modifier and then the next line 20610 50 59?

  2. #2
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    That would be the way I would do it.

  3. #3
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    Forgive me, but isn't the hip ONE joint? I don't think you can code anything but 20610-50 once.
    Lisa Bledsoe, CPC, CPMA

  4. #4
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    Actually I thought the same thing, however as I researched it is composed of multiple joints. I had to really dig on this one. I had worked for ortho surgeons for nine years prior to moving to multi speciality a few years ago. I hadn't coded ortho in a few years so I was doubting myself. I did research and called for a second opinion and was told your "hip area" is composed of multiple joints.

  5. #5
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    I'm sorry, but I have to disagree. Having had an arthroplasty due to congenital hip dysplasia, I am certain that the hip joint is one joint.

    http://images.google.com/imgres?imgu...26tbs%3Disch:1
    Lisa Bledsoe, CPC, CPMA

  6. #6
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    I agree with Lisa the hip is one joint composed of multiple components.

    Debra A. Mitchell, MSPH, CPC-H

  7. #7
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    Thanks Debra.
    Lisa Bledsoe, CPC, CPMA

  8. #8
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    Yes the hip has multiple components but I still think you can only charge for the one injection per side. So only 20610 with 50 modifier. And the hip is only one joint with multiple components in the joint.
    Tina Wosmek CPC, COSC

  9. #9
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    I agree with the rest of the ladies. Take, for instance, the knee joint...there are three different compartments, but there is only one joint that houses all of these compartments. Same goes for the hip joint.

  10. Default
    I have to agree, I work in an orthopedic office and you can only bill for one injection in the hip. Sorry ladies. Unfortunetly it works the same as the knee.
    Anita, CPC

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