Does CPT code 20550 need a modifier?

Does CPT code 20550 need a modifier?

Injection Code 20550 According to CPT, 20550 is not exempt from modifier -51. Likewise, the Medicare Fee Schedule database indicates that this code is subject to the standard payment adjustment rules for multiple procedures.

How do you bill multiple joint injections?

CPT code 20552 is for an injection, single or multiple trigger points, 1 or 2 muscles, and the CPT code 20553- single or multiple trigger points, 3 or more muscles. So, this simple means that if you injected 3 or more muscles, you can only bill CPT 20553 as 1 unit for the procedure.

How do you bill bilateral Arthrocentesis?

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). The code is billed twice because this was a bilateral procedure.

Can 20550 and 20610 be billed together?

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.

What is the CPT code for 20550?

Injections for plantar fasciitis are billed with CPT code 20550 and ICD-9-CM 728.71. Injections for calcaneal spurs are billed as other tendon origin/insertions with CPT code 20551.

How do I bill bilateral knee injections to Medicare?

When this injection is administered either unilaterally or bilaterally the injections would be billed by placing J7325 in item 24 (FAO-09 electronically) and listing the total number of mg’s administered in the units field.

Is 58661 unilateral or bilateral?

2002 that stated code 58661 was a unilateral procedure, so modifier -50 should be appended when the procedure is performed bilaterally.

What is the CPT code for bilateral common iliac PTA stenting?

If bilateral common iliac PTA/stenting is performed from a single puncture site after selective bilateral lower-extremity angiograms were obtained, the codes would be: •37205 transcatheter placement of an intravascular stent (s), percutaneous, initial vessel

What is a bilateral procedure code 50?

If the code has an indicator of two, it is a bilateral procedure code. You would not need to add a modifier 50 because the code is already bilateral. A code with this indicator lets the insurance company know that both sides were done. Claims will be processed at 100% of the allowable.

What is the CPT code for iliac atherectomy?

There are CPT codes to describe iliac atherectomy services. If performed percutaneously, codes 35492 and 75992 can be used to report the services. In addition, if both a balloon angioplasty and atherectomy are performed, they should both be separately coded.

Can I do a bilaterally procedure with a CPT code 3?

If the code has an indicator of three, it can be done bilaterally but you will need to use a 50 modifier. The usual payment adjustment does not apply. Codes with an indicator of 3 are mostly radiology codes. Claims will be processed to pay 100% of the allowable for each side. For the total procedure, this is 200%.