tci Outpatient Facility Coding Alert - 2015 Issue 12

Reader Question: 20552 Might Be Bundled Into 20610

Question: Is 20552 bundled into 20610? New Jersey Subscriber Answer: According to the latest Correct Coding Initiative (CCI) edits, you cannot bill 20552 (Injection[s]; single or multiple trigger point[s], 1 or 2 muscle[s]) with 20610 (Arthrocentesis, aspiration and/or injection; major joint or bursa [e.g., shoulder, hip, knee joint, subacromial bursa]) in the same anatomic location. Pay attention: If the injections are administered in different anatomic locations, you can report both codes. However, because code 20552 is a Column 2 code for 20610, append a modifier to 20552 to differentiate the services and override the CCI bundle. Tips: Trigger...

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