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Coding question injections

  1. #1
    Question Coding question injections
    Medical Coding Books
    99212.25 20550.59 20550.76 20610.59 20610.76 I am billing the e/m and these injections and they are not paying for the second 20550 and I don't know why they will not give me a straight answer please help I need to know how to correct this problem

  2. #2
    Columbia, MO
    20550 is a code for multiple injections single tendon sheath. So if documentation supports different tendon sheath then you may bill more than one. You do not use 76 modifier on injections and never for more than one procedure in the same session. 76 is for a repeated procedure in a separate session. to be repeated it must be the exact same procedure repeated usually after an intervention. injections are not repeated because it is impossible to inject at exactly the same site and when performed in the same session they are always different sites. so assuming your documentation supports a separte tendon sheath you will bill
    99212 25
    20550 59
    20610 (RT or LT) shoulder (for example)
    20610 59 (RT or LT) hip ( for example)
    If the 20610 were bilateral then it would be
    20610 50
    20610 rt
    20610 lt

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Thank You again !!! very HelpFul

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