CPT 20610 joint injection not covered

[myrandom2003]

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I have two insurances not covering regular joint injections. The group across town have been doing them in facility under fluoro and coding them now as joint arthrogram. Anyone else doing this? If so, what else needs to be documented in the note?

 

[SSdoc33]

that CANT be accurate

 

[Agast]

I have two insurances not covering regular joint injections. The group across town have been doing them in facility under fluoro and coding them now as joint arthrogram. Anyone else doing this? If so, what else needs to be documented in the note?

Are you talking about approval for ASC use? I've seen Aetna medicare block hip injection 20610 done in ASC, only approved for office or hospital.

 

[myrandom2003]

correct. in facility

 

[bedrock]

correct. in facility

Thats the issue. Peripheral joint injection codes frequently not covered in an ASC. For this reason practice has a dedicated flouro "procedure room" across the hallway from the ASC. All spine procedures done in actual ASC.

All peripheral joint injections with x ray guidance, including MR arthrograms, peripheral joint injections such as hips, elbows, wrists, shoulders, obese knees are done in the procedure room and billed as a global.

The ASC has a dedicated C arm, but the other C-arm (which typically lives in the procedure room) is wheeled across the hallway to ASC and used in the ASC when needed for particularly busy days, or repairs to main ASC c arm.