ICD-10-CM Diagnosis Code M02.269 [convert to ICD-9-CM] Postimmunization arthropathy, unspecified knee. Post-immunization arthropathy of knee; Postimmunization arthropathy of knee. ICD-10-CM Diagnosis Code M02.269. Postimmunization arthropathy, unspecified knee.
· 2022 ICD-10-CM Diagnosis Code Z98.89 Other specified postprocedural states 2016 2017 - Converted to Parent Code 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code
· As a coding rule, it’s not necessary to code the left knee effusion if it is an integral part of the patient’s osteoarthritis. If the effusion is deemed as a separate symptom that is not a part of the osteoarthritis, it will be necessary to indicate this in the documentation and address it separately; the ICD-10 code for left knee effusion is M25.462.
· As a coding rule, it’s not necessary to code the left knee effusion if it is an integral part of the patient’s osteoarthritis. If the effusion is deemed as a separate symptom that is not …
20610: Arthrocentesis, aspiration and /or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance, with permanent recording and reporting.
You may report the injection using 20610 and the drug supply using J7323 Hyaluronan or derivative, Euflexxa, for intra-articular injection, per dose (once unit, per dose) linked to a diagnosis of M17.
All settings should bill Synvisc-One as 3 units of code J7322.
If the provider aspirates/injects the joint/bursa without guidance of any kind, select from among 20600, 20605, and 20610. Report a single unit of 20600-20611 for each joint treated, regardless of how many aspirations and/or injections occur in a single joint.
Coding Rationale 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).
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. If the drug was administered bilaterally, a -50 modifier should be used with 20610.
SYNVISC Reimbursement Billing CodesSynvisc-One and SYNVISC Billing CodesJ7325For Synvisc-One and SYNVISC, per 1mgSynvisc-One48 in Units field of CMS-1500 Claim form or electronic equivalentSYNVISC16 in Units field of CMS-1500 Claim form or electronic equivalentCPT22 more rows
HCPCS code J7325 for Hyaluronan or derivative, Synvisc or Synvisc-One, for intra-articular injection, 1 mg as maintained by CMS falls under Miscellaneous Drugs .
The provider performs and documents a significant, separately identifiable E/M service, which leads to the decision to perform the injection. You may bill both the injection and the E/M service (with modifier 25 appended).
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 (e.g., two large joints, left knee and left shoulder).
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.
CPT codes 64479 and 64483 are used to report a single level injection.