How do you bill 20600 bilateral?

If the insurance requires one line to be billed for a bilateral service:

1. Bill one line item and one unit with CPT code 20600 (arthrocentesis, aspiration and/or injection; small joint or bursa)
2. Double your fee.
3. Append modifier -50 as the primary modifier to indicate a bilateral service.

How do you code bilateral knee injections for Medicare?

The appropriate site modifier (RT or LT) must be appended to CPT code 20610 or CPT code 20611 to indicate if the service was performed unilaterally and modifier (-50) must be appended to indicate if the service was performed bilaterally.

Can you Bill 20600 twice?

Reporting Multiple Units. 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.

How do you bill bilateral joint injections?

If aspirations and/or injections occur on opposite, paired joints (e.g., both knees), report one unit of 20610 with modifier 50 Bilateral procedure appended, per Centers for Medicare and Medicaid (CMS) instruction. Non-Medicare payers may specify different methods to indicate a bilateral procedure.

Does CPT 20600 need a modifier?

20600: Arthrocentesis, aspiration and /or injection, small joint or bursa (eg, fingers; toes); without ultrasound guidance, with permanent recording and reporting. But, when the joint aspiration is done on two different small joint or major joints, we have to use 59 modifier with any of the cpt.

Does CPT 20612 need a modifier?

CPT® also provides codes for aspiration and/or injection into a ganglion cyst or for treatment of a bone cyst. For multiple ganglion cysts, report 20612 and append modifier 59 Distinct procedural service. For bone cyst treatment, report 20615 Aspiration and injection for treatment of bone cyst.

How do I bill Medicare 20610 bilateral?

Medicare’s CCI edits indicate that we can bill 20610 with a -50 modifier. We bill on one line with 20610-50 with one unit and the price 1.5x.

Is orthovisc covered by Medicare Part B?

Although this medication must be administered by a trained health care professional in an outpatient setting, it is not currently covered by Part B Medicare benefits. Medicare benefits with a Part D Prescription Drug Plan do not cover Orthovisc injections, either.

Is 20610 a bilateral code?

Reporting Multiple Units If aspirations and/or injections occur on opposite, paired joints (e.g., both knees), you may report one unit of 20610 with modifier 50 Bilateral procedure appended, per CMS instruction.

What does CPT code 20612 mean?

Aspiration and/or injection
Code Description: 20612 (Aspiration and/or injection of ganglion cyst(s) any location). Lay Description: The physician aspirates and/or injects a ganglion cyst. A fluid sample may be withdrawn from the cyst or a medicinal substance may be injected for therapy.

How do you bill bilateral procedures for Medicare?

If two of the same services were performed bilaterally, the services should be billed on two separate lines with 1 unit apiece, the 50 modifier and the appropriate repeat modifier on one of the lines. CPT 28340 has bilateral indicator of 0. Bilateral surgery rules do not apply and modifier 50 is not to be used.