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Thread: 20610 bilateral twice total sites injected 4

  1. #1
    Join Date
    Apr 2007
    Location
    Columbia
    Posts
    32

    Exclamation 20610 bilateral twice total sites injected 4

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    I am having a hard time coming up with the best way to code. So far I have been using 20610-50 and 20610-50-59 any suggestions.

    The latest scenerio is a trigger point 20552 with 20610-50 20610-50-59. So I billed it

    99213-25
    20552
    20610-50
    20610-50-59

    HELP!!

  2. #2

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    Well I really doubt that will get paid billed like the way you billed it. It looks confusing to me.
    Also, I've never seen that done before, but my only suggestion would be:
    20610-RT x2 units
    20610-LT x2 units


    And for 20552 that can only be billed once no matter what. That is not a multiple code or bilateral code...just in case you didn't know that.

    Hope that helps.
    Bella

  3. #3
    Join Date
    Apr 2007
    Location
    Greeley, Colorado
    Posts
    2,046

    Default

    Quote Originally Posted by crazycoder View Post
    I am having a hard time coming up with the best way to code. So far I have been using 20610-50 and 20610-50-59 any suggestions.

    The latest scenerio is a trigger point 20552 with 20610-50 20610-50-59. So I billed it

    99213-25
    20552
    20610-50
    20610-50-59

    HELP!!
    Is this for something like bilateral knees and bilateral hips? Your dx codes should indicate the "locations". I suggest:
    99213-25 (if meets criteria)
    20610-50 knee dx
    20610-50 hip dx
    20552-59 appropriate dx
    Don't forget your J codes for the drugs injected.
    You may have to appeal pointing out the different locations for bilaterals but it should be paid
    Lisa Bledsoe, CPC, CPMA

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