AAPC - Back to school
Results 1 to 3 of 3

Thread: Coding shoulder manipulation w/injection - Noone replied to my question

  1. #1

    Default Coding shoulder manipulation w/injection - Noone replied to my question

    AAPC: Back to School
    Coding shoulder manipulation w/injection


    Noone replied to my question, so I am resending. I am showing on CCI edits that 20610 is bundled with 23700 as of Jan. 1, 2011. Can these two codes be billed together for this procedure? This is for same shoulder. See op note below. I am ASC. Physicians office says we can.
    I appreciate any info.


    PREOPERATIVE DIAGNOSIS: Right shoulder capsulitis frozen shoulder.

    POSTOPERATIVE DIAGNOSIS: Right shoulder capsulitis frozen shoulder.

    PROCEDURE: Right shoulder manipulation under general anesthesia with brachial plexus block by the anesthesia service and intraarticular infiltration of Marcaine, morphine, and Kenalog solution.

    OPERATIVE PROCEDURE: The patient was brought to the operating room and general anesthesia was administered. A brachial plexus was performed by the anesthesia service. I then proceeded with manipulation. The patient had an extremely stiff shoulder. Abduction was limited to about 60 degrees, external rotation to only 10 degrees, and internal rotation to 10 degrees. Progressively, I proceeded with rotation with loud crepitus upon bringing the shoulder to nearly full abduction. Then I progressively brought back external rotation to about 75-80 degrees. I then proceeded with adduction and internal rotation that was symmetric to the opposite side.

    After sterile preparation and C-arm control, infiltration was carried out with Marcaine, morphine, and Kenalog solution into the joint space. The patient was returned to the recovery room in stable condition.

    Last edited by ank3t; 10-04-2016 at 06:01 AM.

  2. #2


    I would go with what the CCI edit says. If you bill them separately one will just be denied as bundled if you are correct then you will not have this debate with the physician's office again. Maybe the physician's office is not up to date with their billing practices being that this IS January. Things change all the time. I hope this helps.

  3. #3


    I really appreciate the reply and your opinion. I hate to second guess myself.

    Thanks again,
    Vickie Mounce

Similar Threads

  1. Coding shoulder manipulation w/injection
    By vmounce in forum Outpatient Facilities
    Replies: 2
    Last Post: 06-13-2013, 08:22 PM
  2. shoulder manipulation with arthrogram?
    By BFAITHFUL in forum Orthopaedics
    Replies: 9
    Last Post: 06-13-2013, 09:02 AM
  3. Shoulder Arthroscopy with Manipulation
    By karenl in forum Orthopaedics
    Replies: 2
    Last Post: 01-09-2012, 02:58 PM
  4. Manipulation under anesthesia shoulder
    By smcbroom in forum Outpatient Facilities
    Replies: 6
    Last Post: 04-19-2010, 12:52 PM
  5. Shoulder manipulation w/arthroscopic distention of shoulder
    By TLVANDERPOOL in forum Orthopaedics
    Replies: 1
    Last Post: 06-16-2009, 02:06 PM

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.