Can you bill 20610 twice?
Asked by: Berniece Dibbert Jr. | Last update: July 31, 2025Score: 4.4/5 (64 votes)
What are the billing guidelines for 20610?
The procedure code (CPT code) 20610 or 20611 may be billed for the intraarticular injection. The charge, if any, for the drug or biological must be included in the physician's bill and the cost of the drug or biological must represent an expense to the physician.
Can you bill multiple units of 20550?
The description for CPT 20550 (Injection(s); single tendon sheath, or ligament, aponeurosis [e.g., plantar "fascia"]) means that if your physician injects a single tendon sheath multiple times, you should report 20550 once. But if he injects two tendon sheaths, you should assign 20550 twice, says Kent J.
Can you bill 92928 twice?
Each individual major coronary artery must be identified separately and each artery would receive its own line item modified with the appropriate modifiers (LD, RC, LC, RI, LM). Therefore, you should report 92928 twice using a distinct line for each artery.
How to bill multiple joint injections?
Report only a single unit of a joint injection code (seen on table below) for each joint treated, regardless of how many aspirations and/or injections occur in a single joint. For example, if the physician administers two injections, one on either side of the right knee, you would report 20610 x 1.
CPT 20610 Billing Scenarios
Can we code 20610 twice?
Generally, one unit of the 20610 CPT code should be reported for each joint treated. However, multiple units may be reported for multiple joints or bilateral procedures using appropriate modifiers.
How do you bill multiple injections?
If a provider wishes to report multiple injections (intramuscular or subcutaneous) of the same therapeutic medication, he or she may choose to report code 96372 (therapeutic, prophylactic, or diagnostic injection [specify substance or drug]). The number of administrations would be reported as the units of service.
Does CPT 92928 require a modifier?
Does CPT 92928 Need a Modifier? For CPT code 92928, which involves percutaneous coronary intervention with stent placement, several modifiers may be applicable depending on the specific circumstances of the procedure.
Can you charge 96372 twice?
The procedure code 96372 already includes a general assessment of the patient. If the need for the injection was already determined at the previous visit (billed as an E/M code), you cannot bill again for the same service.
Can you bill 88305 twice?
For certain prostate conditions, up to a maximum of sixteen (16) units of CPT code 88305 can be considered for reimbursement on the same date of service. This allows healthcare providers to accurately bill for multiple examinations of tissue biopsies related to prostate conditions.
Is CPT code 20610 considered surgery?
CPT code 20610 is used for a procedure where a healthcare provider drains fluid from or injects medication into a joint or bursa without using ultrasound guidance. This code typically applies to treatments for conditions like arthritis or bursitis to relieve pain and inflammation.
Can you bill 20552 twice?
Only one code from 20552 or 20553 should be reported on any particular day, no matter how many sites or regions are injected. When a given site is injected, it will be considered one injection service, regardless of the number of injections administered.
Does 20550 need a modifier?
Does CPT 20550 Need a Modifier? - Use this modifier if the injection is performed on both sides of the body during the same session. - Apply this modifier when multiple procedures, other than E/M services, are performed by the same provider during the same session.
Can 20610 and 20552 be billed together?
Reader Question: 20552 Might Be Bundled Into 20610
Pay attention: If the injections are administered in different anatomic locations, you can report both codes. However, because code 20552 is a Column 2 code for 20610, append a modifier to 20552 to differentiate the services and override the CCI bundle.
Can you bill 99213 and 20610 together?
Per CCI edits, CPT codes 20610-RT and 99213-25 cannot be billed together; however a modifier is allowed with supporting documentation.
Does 20610 have a global period?
Global period for code 20610 is 000 days; therefore, based on correct coding rules, and Evaluation and Management Code should have been included.”
Can you bill 99214 and 96372 together?
Can CPT code 99214 and 96372 be billed together? Yes, CPT code 99214 (office visit, established patient) can be billed alongside 96372, but the documentation must clearly show that the injection was separate from the evaluation and management (E/M) service.
What modifier is used for multiple procedures?
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.
Can you bill 64450 twice?
Answer: You can charge 64450 twice if the physician does a digital block on two fingers. You can use a quantity of two or consider listing the code twice with a location modifier. For example, you could code 64450-F1 (left hand, second digit) plus 64450-F2 (left hand, third digit).
How do you know if a CPT code needs a modifier?
- The service or procedure has both professional and technical components.
- More than one provider performed the service or procedure.
- More than one location was involved.
- A service or procedure was increased or reduced in comparison to what the code typically requires.
Can you bill 92941 and 92928 together?
A. Generally, you can only assign CPT code 92941 once as it is reported only for intervention of the culprit lesion. For the treatment of another vessel that is not a culprit lesion, report a “regular” CPT code such as 92928. In your case, you would report 92941-LD and 92928-RC.
Is 92928 bundled with 93458?
There are certain circumstances where 92928(PCI stent) and 92458(cardiac cath) can be billed together, I have successfully done this, I code the 92928 first (has the higher RVU) and then the 93458 with 26,xs,51.
How to bill for Dupixent injection?
HCPCS code J0517 (1MG) is the code to bill for Fasenra. HCPCS J3490 (unclassified drugs) or J3590 (unclassified biologics) are HCPCS codes you can use for Dupixent.
What is the 51 modifier for injections?
Modifier 51
When multiple procedures, other than Evaluation and Management (E/M), Physical Medicine and Rehabilitation services or provisions of supplies (e.g., vaccines) are performed at the same session by the same individual, the primary procedure or service may be reported as listed.
How do you bill for joint injections?
Billing the injection procedure
The procedure code (CPT code) 20610 or 20611 may be billed for the intraarticular injection. The charge, if any, for the drug or biological must be included in the physician's bill and the cost of the drug or biological must represent an expense to the physician.