What is the CPT code 20610?

What is the CPT code 20610?

Code. Description. 20610. ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT OR BURSA (EG, SHOULDER, HIP, KNEE, SUBACROMIAL BURSA); WITHOUT ULTRASOUND GUIDANCE.

How do I bill a CPT code 20610?

The aspiration and/or injection procedure code may be billed in addition to the drug. Indicate which knee was injected by using the RT (right) or LT (left) modifier (FAO-10 electronically) on the injection procedure (CPT 20610). Place the CPT code 20610 in item 24D.

What is the difference between CPT code 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.

Is CPT code 20610 considered surgery?

The Division finds that reimbursement is not due based upon the following: • Code 20610 is classified as a minor surgery because it has a 0 day postoperative period.

Is the CPT code the diagnosis?

Current Procedural Terminology (CPT®) codes are used as a common language in the healthcare system. Health care providers, including psychologists, use CPT codes to report the specific procedures and services they provide to their patients.

What does CPT mean?

Current Procedural Terminology
Current Procedural Terminology (CPT) is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations.

Does Medicare pay for CPT 20610?

This is the “Medicare approved amount,” which is the total the doctor or supplier is paid for this procedure. In Original Medicare, Medicare generally pays 80% of this amount and the patient pays 20%. Original Medicare usually pays 80% of the Medicare-approved amount. on ambulatory surgical centers.

What is a CPT injection?

The Current Procedural Terminology (CPT®) code 96372 as maintained by American Medical Association, is a medical procedural code under the range – Therapeutic, Prophylactic, and Diagnostic Injections and Infusions (Excludes Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration).

How often can you bill 20610?

For example, BlueCross BlueShield (BCBS) policies generally stipulate, “Reimbursement for arthrocentesis, aspiration and/or injection of major joint or bursa (e.g., shoulder, hip, knee joint, subacromial bursa), CPT 20610, will not exceed four (4) services per site within a thirty (30) day period.”