What CPT code is 20610?

Group 1 Codes:

What is the difference between CPT 20610 and 20611?

Use 20610 for a major joint or bursa, such as the shoulder, knee, or hip joint, or the subacromial bursa when no ultrasound guidance is used for needle placement. Report 20611 when ultrasonic guidance is used and a permanent recording is made with a report of the procedure.

Is 20610 a surgical procedure?

The Division finds that reimbursement is not due based upon the following: • Code 20610 is classified as a minor surgery because it has a 0 day postoperative period.

Can CPT code 20610 be billed with 99213?

Per CCI edits, CPT codes 20610-RT and 99213-25 cannot be billed together; however a modifier is allowed with supporting documentation.

Can 20610 and 96372 be billed together?

They are not used together for the same injection. The 20610 or 20605 are the admin codes for the joint injection the J code is the drug/substance injected. The 96372 is not coded for a joint injection.

Can 20550 and 20610 be billed together?

For 20550/20551 being billed with 20610 the modifier you use will depend on the insurance. If the patient has any type of Medicare plan then use -XS. If not, -59. These modifiers communicate to insurance that the injections were performed for separate and unrelated medical conditions.

Do you bill 96372 with 20610?

If the injection is subcutaneous or intramuscular we can use the CPT® 96372, if it is intra-arterial, use CPT® 96373 and if it is an intravenous push, we can use 96374. But, 20610 itself is also correct if the injection is given in the joint.

Why is 51 modifier used?

Modifier 51 Multiple Procedures indicates that multiple procedures were performed at the same session. It applies to: Different procedures performed at the same session. A single procedure performed multiple times at different sites.

What does CPT code 20610 stand for in medical terms?

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.

Which is knee Hyalgan is administered after CPT code 20610?

MODIFIERS: In certain instances, payers may require modifier “-RT” (right side) or “-LT” (left side) to be documented after CPT code 20610/20611, to specify which knee HYALGAN was administered to.

Which is the correct code for arthrocentesis 20610?

Instead, you would report 20604, 20606, or 20611, as appropriate. See “Coding Arthrocentesis, Aspiration, or Injection Is a Joint Effort” for new guidelines. Reporting Multiple Units. Report only a single unit of 20610 for each joint treated, regardless of how many aspirations and/or injections occur in a single joint.

When to report 20610 vs 27093 in CCI?

Current CCI edits list 20610 as a Column 2 code of 27093, which means you shouldn’t normally report both procedures together if the physician performs the arthrogram and injection on the same hip. The bundle does allow you to report a modifier, however, to differentiate between services in some instances.