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Thread: Major joint injections (20610)

  1. #1

    Default Major joint injections (20610)

    AAPC: Back to School
    Does anybody know if we can bill a major joint injection with an E&M visit if the note states "pt comes in today for major joint injection"

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    It does not look like it. From what you have posted it looks as though this was a scheduled injection, therefore you may not charge the E&M, you may charge the injection only.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Join Date
    Apr 2007


    I have billed the injection and E/M on the same visit w/a mod 25 on the E/M. Of course this only happened because the patient came to office with compliants unrelated to the joint injection. The insurance did cover this. Hope this helps.

  4. #4


    Both Deb and Medassure are correct. If the patient comes in only for the injection and has no other unrelated complaint, then you cannot code for the E/M. However, if the patient comes in for the injection and has a different complaint, say cough and sore throat, and documentation is done, then yes you can, with a 25 mod on the E/M.

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