Place the CPT code 20610 in item 24D. If the drug was administered bilaterally, a -50 modifier should be used with 20610.
When the same joint is treated more than once on the same date of service, even with aspiration followed by injection or with two injections to the same joint, you can only bill one CPT® 20610 code.
Beside this, How do you code bilateral knee injections?
The CPT code 20611 is for an arthrocentesis, aspiration and/or injection, major joint or bursa (e.g., shoulder, hip, knee or subacromial bursa with ultrasound guidance, with permanent recording and reporting). The code is billed twice because this was a bilateral procedure.
Likewise, What is included in CPT code 20610?
CPT® 20610 describes aspiration (removal of fluid) from, or injection into, a major joint (defined as a shoulder, hip, knee, or subacromial bursa), or both aspiration and injection of the same joint. The procedure may be performed for diagnostic analysis and/or to relieve pain and swelling in the joint.
Also, Which code does the 59 modifier go on?
code 11100
What code modifier is 59?
Distinct Procedural Service
17 Related Question Answers Found
Is CPT 20610 a surgical procedure?
Modifier 57: Decision for Surgery was added to code 99212. 20610: Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance.
Does modifier 59 go on column1 or column 2 code?
Effective July 1, 2019, Medicare allows placement of modifier 59 and the X{EPSU} modifiers on either the column 1 or column 2 code of a Correct Coding Initiative (CCI) edit pair to bypass the edit. This is a change from the previous rule requiring placement of those modifiers on the column 2 code.
Which modifier goes first 59 or GP?
guidelines: order of modifiers If you have two pricing modifiers, the most common scenario is likely to involve 26 and another modifier. Always add 26 before any other modifier. If you have two payment modifiers, a common one is 51 and 59, enter 59 in the first position. If 51 and 78, enter 78 in the first position.
Can you bill CPT code 20610 twice?
When the same joint is treated more than once on the same date of service, even with aspiration followed by injection or with two injections to the same joint, you can only bill one CPT® 20610 code.
When should you use modifier 59?
Modifier 59 should be used to distinguish a different session or patient encounter, or a different procedure or surgery, or a different anatomical site, or a separate injury. It should also be used when an intravenous (IV) protocol calls for two separate IV sites.
Is 20610 a bilateral code?
If aspirations and/or injections occur on opposite, paired joints (e.g., both knees), you may report one unit of 20610 with modifier 50 Bilateral procedure appended, per CMS instruction.
How do you code bilateral 20610?
When a provider injects the same joint on both sides, the procedure is considered bilateral. For bilateral procedures, you’ll use CPT® modifier 50. For example, if your provider performed an injection of 40 mg of Depo-Medrol to each shoulder, you’d report the following: 20610 50.
What is a XS modifier used for?
Modifier Code XS This modifier is used to identify “separate structure, a service that is distinct because it was performed on a separate organ/structure”.
How do you bill for bilateral knee injections?
When a provider injects the same joint on both sides, the procedure is considered bilateral. For bilateral procedures, you’ll use CPT® modifier 50.
What is the difference between 51 and 59 modifier?
Modifier 51 impacts the payment amount, and modifier 59 affects whether the service will be paid at all. Modifier 59 is typically used to override National Correct Coding Initiative (NCCI) Edits.
Does modifier go on column1 or column 2 code?
For overrides of Mutually Exclusive Edits or Correct Coding Edits, the appropriate modifier is always appended to the code that appears in column 2 because that is considered the bundled procedure.
Is CPT 58661 a bilateral procedure?
2002 that stated code 58661 was a unilateral procedure, so modifier -50 should be appended when the procedure is performed bilaterally.
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