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What is the difference between CPT 20610 and 20611?

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.

What CPT code is 20611?

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).

What CPT code is 20610?

Group 1

Code Description

Does CPT 20611 need a modifier?

For bilateral administration of HYALGAN, some payers may require modifier “-50” (bilateral procedure) to be documented after CPT code 20610/20611. Use “EJ” modifier on drug codes to indicate subsequent injections of a series. Do not use this modifier for the first injection of each series of injections.

What is a 51 modifier?

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. A single procedure performed multiple times at the same site.

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.

What is the CPT code 32555?

As of January 1, 2013 CPT revised the description for a thoracentesis, and new code 32555 is used for thoracentesis needle or catheter, aspiration of the pleural space including image guidance.

Can CPT 20610 and 96372 be billed together?

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.

Can 20610 and 20605 be billed together?

When we code bilateral joint aspiration on both sides, we can use the 50 along with procedure cpt code 20600, 20604, 20605, 20606, 20610 and 20611. But, when the joint aspiration is done on two different small joint or major joints, we have to use 59 modifier with any of the cpt.

Why is 51 modifier used?

Modifier 51 is used to identify the second and subsequent procedures to third party payers. The use of modifier 51 indicates that the multiple procedure discount should be applied to the reimbursement for the code.

What is a GX modifier?

Modifier GX The GX modifier is used to report that a voluntary Advance Beneficiary Notice of Noncoverage (ABN) has been issued to the beneficiary before/upon receipt of their item because the item was statutorily noncovered or does not meet the definition of a Medicare benefit.