I have a physician who is injecting the left hip joint and the greater trochanteric bursa, also on the left. These injections are clearly in the same area; however, the doctor very specifically describes two separate injections. My manager and I have discussed this at length and are leaning toward billing 20610 for the first injection and 20610-51 for the second. We have many pain clients and have never seen any of them do this before so any experienced input on this scenario would be greatly appreciated!