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CPT 20610 denials......

  1. #1
    Default CPT 20610 denials......
    Medical Coding Books
    I know the CPT 20610 can't be used for Sacroiliac injections. But why am I now getting denials on knee and hip injections? I am doing everything the same but now for some reason they are getting denied. Please help. I have spent hours on the Medicare website and now I want to jump off a bridge. Thank you.

  2. Default More Info Needed
    What is the denial code/reason that you are being provided with?
    Tracey Thompson, CPC, CPPM

  3. #3
    Location
    Columbia, MO
    Posts
    12,526
    Default
    yes it may be the dx code .. what is he denial reason and what dx code are you using and what J code.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Location
    Honolulu, HI
    Posts
    20
    Default
    yes, need more info...denial code reason

  5. #5
    Default
    I will ask my billing dept and get back. Thanks guys.

  6. #6
    Default
    Have you checked the Medicare LCD? Also, are you using a RT or LT modifier?

  7. #7
    Default 20610
    It could be the DX and the modifiers are needed. What is the rejection code?

    Eva

  8. #8
    Location
    Capital Coders, Columbia, SC
    Posts
    145
    Default
    Is the patient in a global period? You may need to attach a 58 or 79.


    Bill Hale, CPC

  9. #9
    Default
    You know ladies it was the LT and RT. Yes!!!!!!!!!! I love you all.

  10. #10
    Location
    Capital Coders, Columbia, SC
    Posts
    145
    Default
    I'm not a lady, but I love you, too!

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