What is the CPT code for arthroscopy knee? cpt code for knee arthroscopy with synovectomy.
|20610||ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT OR BURSA (EG, SHOULDER, HIP, KNEE, SUBACROMIAL BURSA); WITHOUT ULTRASOUND GUIDANCE|
|M17.9||Osteoarthritis of knee, unspecified|
Report a single unit of 20600-20611 for each joint treated, regardless of how many aspirations and/or injections occur in a single joint. You may report multiple units of a single code for aspiration/injection of multiple joints of same size (e.g., two large joints, left knee and left shoulder).
- Bill two line items with CPT code 20600 (arthrocentesis, aspiration and/or injection; small joint or bursa)
- Append modifier -LT as the primary modifier on one line, and -RT to the other to indicate a bilateral service.
62321. Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; with imaging guidance (ie, fluoroscopy or CT)
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.
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).
CPT code 76942 (Ultrasonic guidance for needle placement imaging supervision and interpretation) and CPT code 77002 (fluoroscopic guidance for needle placement) are inclusive with injections/aspirations of joints, trigger points, tendons or cysts.
HCPCS code J1030 is defined as “Injection, methylprednisolone acetate, 40 mg.”
You may report multiple units of 20610 only if aspiration/injection is performed in more than one major joint (e.g., both knees or left knee and left shoulder).
Modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together, but are appropriate under the circumstances. … Only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used.
20550 or 20551 Doctor’s diagnosis is Plantar Fasciitis of left foot. If you use 20551 for the injection, what ICD-10 code you will use on LCD, this is a Medicare patient. Medicare will deny M72.
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.
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.
Report 20600 for arthrocentesis of a small joint or bursa, such as the fingers or toes, without ultrasound guidance; 20604 for arthrocentesis of a small joint or bursa, with ultrasound guidance, including permanent record and report; 20605 for an intermediate joint or bursa, such as the wrist, elbow, ankle, olecranon …