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4 injections during e/m visit

  1. #1
    Default 4 injections during e/m visit
    Medical Coding Books
    An est medicare pt comes to the office complaining of bilat shoulder and bilat knee pain. the decision was made to inject both shoulders and both knees.Two different diagnoses. would I code the shoulders 20610 rt and lt with the diagnosis code for that issue and also code the 20610 rt and lt for the knees with that diagnosis code. Or would I use mod 59 for the knees?

    Thanks
    Coderforlife

  2. #2
    Default
    Quote Originally Posted by coderforlife View Post
    An est medicare pt comes to the office complaining of bilat shoulder and bilat knee pain. the decision was made to inject both shoulders and both knees.Two different diagnoses. would I code the shoulders 20610 rt and lt with the diagnosis code for that issue and also code the 20610 rt and lt for the knees with that diagnosis code. Or would I use mod 59 for the knees?

    Thanks
    Coderforlife
    You have to use 59 otherwise they will deny it as duplicate.

  3. #3
    Default
    would they deny even if we have two different diagnosis codes for the knees and shoulders? Shoulders will use 726.10 and the knees 715.36.

    coderforlife

  4. #4
    Location
    Charm City - Baltimore
    Posts
    103
    Default
    Even with different diagnosis codes I would still put the -59.
    Crystal, CPC, CCS-P

  5. #5
    Default
    Quote Originally Posted by coderforlife View Post
    would they deny even if we have two different diagnosis codes for the knees and shoulders? Shoulders will use 726.10 and the knees 715.36.

    coderforlife
    If human would process the claim maybe he/she would see and understand that these codes are not duplicate but Im sure computer does it so there is no guarantee it will be paid. I have billed two injections for two different part of body it was still denied. So don't risk just use -59. Is there any particular reason why you don't want to use 59?
    Last edited by armen; 09-13-2011 at 08:15 PM.

  6. Default
    We use 20610 50 modifier and we get paid. You would use the 20610 50 twice and we also do the J code with a unit 2 double the price and it also gets paid. Good luck
    grandmacora

  7. Default Injections
    20610-50 and 20610-50-59---most claims accept two modifiers.

  8. #8
    Default thank you
    thank you for all the input.

    coderforlife

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