How many units can be billed for CPT 20610?
Asked by: Susan Effertz | Last update: October 2, 2025Score: 4.3/5 (34 votes)
How do I bill multiple 20610?
Multiple Units and Bilateral Procedures for 20610 CPT Code
If the procedure is performed in more than one major joint, each joint can be reported with a separate unit of the 20610 code.
How many units can I bill 20550?
20550 cannot be billed with units greater than 1.
What are the rules for hyaluronic acid injections?
For at least two days after the injection, you should avoid jogging, high-impact sports or being overly active. You should also avoid carrying heavy items or standing for long periods. You might not notice the effect of the injections straight away. Once they start working, any benefits will probably last a few months.
How to bill 99213 and 20610 together?
Use the E/M code with a modifier (for example, 99213-25), as well as the knee joint aspiration procedure code 20610. Thus, when a new problem requires more than a cursory review, the visit generally qualifies for an E/M with modifier -25.
CPT 20610 Billing Scenarios
How many units of 20610 can be billed?
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.
What is the modifier 25 rule?
Modifier 25 should be appended to the office or other outpatient visit code to indicate that a significant, separately identifiable E/M service was provided on the same date as the preventive medicine E/M service, and the appropriate preventive medicine E/M service is additionally reported without a modifier.
How often does Medicare pay for hyaluronic acid knee injections?
Medicare will cover knee injections once every six months if they are medically necessary. The injections are covered under Medicare Part B and subject to the annual Part B deductible. X-rays are required prior to Medicare approval. As mentioned above, there are many different injection treatments for the knees.
What are the restrictions of hyaluronic acid?
Do not strain your knee joint for two days after receiving this medicine. Avoid activities such as jogging, soccer, tennis, heavy lifting, or standing on your feet for a long time. Temporary pain or swelling in the knee joint may occur after receiving hyaluronic acid injection.
What is the #1 mistake that makes bad knees worse?
1. You aren't moving enough. One of the biggest mistakes we see patients with knee pain make is to begin using their knees less.
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.
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.
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.
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 20552 and 20610 together?
A trigger point injection and a joint injection are bundled by Medicare. Does that mean I can't bill both if I do both at the same encounter? Answer: You are correct, trigger point injection (20552 or 20553) and a joint injection, for example, a shoulder joint injection, (20610) are bundled by Medicare.
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.
What is the maximum hyaluronic acid?
But at 2% hyaluronic acid (the maximum amount recommended by dermatologists), the Inkey List hyaluronic acid serum is proof that you don't have to splurge to get quality skin care products.
What are the contraindications for hyaluronic acid injections?
Contraindications for the use of hyaluronic acid filler include: Hypersensitivity to hyaluronic acid or any of the formulation components. History of severe allergic reaction or anaphylaxis to hyaluronic acid. Hypersensitivity reaction to gram-positive bacterial proteins (for products derived from bacterial source).
What Cannot be paired with hyaluronic acid?
For instance, Alpha Hydroxy Acids (AHAs), such as Lactic Acid and Glycolic Acid, and Synthetic Retinol are a pair that can easily cause irritation.
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.
What is the average cost of hyaluronic acid injections?
How much do dermal fillers cost? The average cost of hyaluronic acid dermal fillers is $715, the average cost of non-hyaluronic acid dermal fillers is $901 and the average cost of lip augmentation with dermal fillers is $743, according to the latest statistics from the American Society of Plastic Surgeons.
What are the cons for hyaluronic acid knee injections?
The most common side effect is mild pain and swelling at the injection site that goes away on its own. About 1% of people have a more severe reaction called an injection flare. It causes fluid to accumulate in the joint, with significant swelling and pain.
What is modifier 59 used for?
For the NCCI, the primary purpose of CPT® modifier 59 is to indicate that two or more procedures are performed at different anatomic sites or during different patient encounters. It should only be used if no other modifier more appropriately describes the relationships of the two or more procedure codes.
Can you have an office visit and injection on the same day?
Answer: Unfortunately, no. It is true that an evaluation and management code, an E/M or office visit, can be reported with a minor procedure such as an injection, but only if the E/M is significant and separate and exceeds the “pre-service evaluation” that is inherent to the injection.