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Thread: Joint Injection

  1. #1

    Default Joint Injection

    I have a physician that documented giving a patient bupivacaine and kenalog into the left greater trochanteric bursa as a trigger point injection. My question is do I code this as an arthrocentesis 20610 or a trigger pt 20552?
    Stephanie, CPC, HCS-D

  2. #2
    Join Date
    Apr 2007
    Location
    Everett, WA
    Posts
    880

    Default

    My understanding is that the 20552 would be utilized if there were muscles being injected and according to my CPT Lay Description Book from Ingenix the 20610 might be considered. Within the description of 20600-20610 directions state to: report 20610 for a major joint or bursa injection or aspiration such as of the shoulder, hip, knee joint, or subacromial bursa.

    Hopefully others more knowledable will address/correct this as well.
    Suzanne E. Byrum CPC
    Noridian
    NGS

  3. #3
    Join Date
    Apr 2007
    Location
    Green Bay, WI
    Posts
    65

    Default

    I agree with Suzanne. Trigger point injections involve the injection of muscles. The injection of a bursa would be represented by CPT 20600-20610. In your case, since the left greater trochanteric bursa is being injected, I would code CPT 20610.

    Mary Kittredge, CPC

  4. #4
    Join Date
    Apr 2007
    Location
    Columbus, OH
    Posts
    70

    Smile Check the diagnosis.

    I have advised my providers that when they are unsure about the correct code, and specifically this very same situation, just check the diagnosis first, and that will lead you to the right code. They were injecting patients with greater trochater bursitis or GTPS, greater trochanteric pain symdrome, ICD 9 726.5. That helped them see that the 20610 was the correct code, not the 20552.
    Melanie Zinser, RMC, CPMA, CPC-I, CANPC
    Coding Educator & Quality Analyst
    OhioHealth Physician Group
    melanie.zinser@ohiohealth.com

  5. #5
    Join Date
    Apr 2007
    Location
    Green Bay, WI
    Posts
    65

    Default

    Great advice! Glad you were able to help make things clear with your providers.

    Happy Friday!!
    Mary Kittredge, CPC

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