Can you bill 20610 with 2 units?
Asked by: Citlalli Davis | Last update: July 26, 2025Score: 4.2/5 (39 votes)
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.
What is the maximum number of units of 20610 you may report per session per joint treated?
Billing the injection procedure
If an aspiration and an injection procedure are performed at the same session, bill only 1 unit for CPT code 20610 or 20611. When additional substances are concomitantly administered (e.g. cortisone, anesthetics) with viscosupplementation, only one injection service is allowed per knee.
Can you bill 2 units of 96127?
CMS does not limit the number of times CPT code 96127 may be billed per year. There is an MUE limit of 3 units per date of service. Although major insurances typically follow MUE guidelines, they may impose their own limits on the number of times per year that 96127 may be billed.
Can you bill 20610 and 77002 together?
Answer: Yes, you can report fluoroscopic guidance with CPT code 20610. In the ASC make sure you report 77002-26.
CPT 20610 Billing Scenarios
Can you bill 2 units 20610?
For example, if the provider performs an aspiration and injection on the left knee and a separate aspiration and injection on the right knee, two units of the 20610 code can be reported, each with the designated modifiers for bilateral procedures.
Can 77002 be billed with 20552?
Code 20552 is reported for trigger point(s) injection(s) in 1 or 2 muscles, and code 20553 is reported for trigger points injection(s) in 3 or more muscles. If imaging guidance is utilized, report the appropriate radiology code (76942,77002, and 77021) in addition to the injection codes.”
Do you bill 2 units with a 50 modifier?
If a procedure is authorized for the 150 percent payment adjustment for bilateral procedures (payment policy indicator 1), the procedure shall be reported on a single line item with the 50 modifier and one service unit. Whenever the 50 modifier is appended, the appropriate number of service units is one.
Can 95886 be billed with 2 units?
Coding for Electromyography
When four or fewer muscles are tested in an extremity, report +95885; when five or more muscles are tested in an extremity, report +95886. You can report both codes, for a maximum of four units, when all four extremities are tested.
Can you bill 99214 and 96127 together?
Yes, 96127 and 99214 are frequently billed together. 99214 is the code used for established patient office visits that last 30 to 39 minutes. So if an established patient comes to your office for a check-up and you deliver a standardized screening instrument, then both of these codes would be billed.
What is CMS 20610 billing guidelines?
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.
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.
What is CPT code 20610 for?
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.
How do I bill for 2 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.
What is CPT code 20550 billing guidelines?
CPT code 20550 is used for an injection into a tendon sheath or ligament. This procedure typically involves administering medication directly into the sheath surrounding a tendon or into a ligament to reduce inflammation and pain.
Can you bill 96372 with 2 units?
When a patient receives two or three intramuscular or subcutaneous injections, CPT code 96372 should be reported for each injection performed (either IM or SubQ). Modifier 59, Distinct Procedural Service, would be appended to the second and any subsequent injection codes listed on the claim form.
How many units can I bill 20550?
20550 cannot be billed with units greater than 1.
Can you bill 2 units of 97530?
Billing statement creation (CPT Code + Unit): Now, you would enter the 97530 code in the billing statement, then use the units field to indicate the two units provided to the patient.
What is the difference between 95885 and 95886?
Use codes 95870 or 95885 when four or fewer muscles are tested in an extremity. Use codes 96860– 95864 or code 95886 when five or more muscles are tested in an extremity.
Can you bill 2 units for 95886?
Unlike the old EMG codes 95860-95864 where the code specify the number of limbs tested, the new EMG codes state “each extremity”, therefore you may bill up to 4 units for either CPT 95885 or CPT 95886 depending upon the no. of muscles tested.
When to use 59 or 51 modifier?
Modifier -51 would be attached because the biopsy is the lesser-valued procedure done at the same session, and modifier -59 would be attached to indicate that the biopsy, which is normally bundled with excision of the same lesion, was done on a separate lesion from the one that was excised.
Can you bill 20552 with modifier 50?
Modifier 50 should not be reported with CPT codes 20551, 20552, 20553 or 20612, but may be reported, when appropriate, with CPT codes 20550 and 20526.
Is 77002 bundled with 20610?
The code was revised from a stand-alone CPT code to an add-on code. The guideline parenthetical lists primary surgical CPT codes where CPT code 77002 may be reported in addition to the procedure. CPT code 20610 (major joint injection) is included in this list.
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.
What is CPT code 20610 for SI joint injection?
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.