AAPC - Back to school
Results 1 to 4 of 4

Thread: 20610 Modifier 50

  1. #1
    Join Date
    Apr 2007

    Default 20610 Modifier 50

    AAPC: Back to School
    I have a question regarding billing for Aspiration/Injection (eg, shoulder, hip, knee joint, subacromial bursa). My office is confused on how to code for the following scenario to Medicare: Injection of right knee and right hip, same day injection of the left knee and left hip. How would we code this?
    20610-x 4
    According to an article I found on CMS the following would apply:
    "For procedure 20610, modifier 50 is appropriate when billing a bilateral injection only. Modifier 50 is usually not appropriate when billing a bilateral injection along with an injection in another body area. The correct billing of this scenario would be to list 20610 on one line of the CMS-1500 claim from with 3 indicated in the unit field. In situations where a provider performs bilateral injections (the right and left knee) and provides no other injections the bilateral services should be billed on one lien as 20610-50 with 1 unit."

    What does this mean do we bill the four units I am so confused also, if you have any direct website links that would help.

    thank you


  2. #2
    Join Date
    Apr 2007
    Athens, Ga.


    I would bill that scenario as follows

    20610-50 (dx 719.45)
    20610-50-59 (dx 719.46)

    BUT.. based on the article you quoted, it would seem that 20610x4 would also be appropriate. I wish I could be more help on this one...
    Walker Bachman, CPC, CPPM

  3. #3
    Join Date
    Apr 2007
    North Carolina


    This may be carrier specific. I would also bill as (based on my carrier)...


    ...along with the appropriate ICD-9 codes....

    Here's the entire article...


  4. #4
    Join Date
    Apr 2007


    I will check with our local carrier. Thanks

Similar Threads

  1. 20600, 20605, 20610 with Lt/Rt modifier
    By loricpc in forum Orthopaedics
    Replies: 6
    Last Post: 09-25-2015, 09:05 AM
  2. 20610
    By svms in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-13-2014, 09:47 AM
  3. 20610
    By raidaste in forum Orthopaedics
    Replies: 2
    Last Post: 02-13-2012, 02:19 PM
  4. 20610 - I need some expert advice
    By darlene.dean@lpnt.net in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 09-01-2010, 07:22 AM
  5. 20610 - to modifier 52 or not???
    By kobusk in forum Orthopaedics
    Replies: 2
    Last Post: 05-12-2010, 11:35 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.