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The procedure code (cpt code) 20610 or 20611 may be billed for the intraarticular injection Pulsed radiofrequency for denervation is considered investigational and therefore, not medically necessary. The charge, if any, for the drug or biological must be included in the physician’s bill and the cost of the drug or biological must represent an expense to the physician.
If an aspiration and an injection procedure are performed at the same session, bill only 1 unit for cpt® code 20610 or 20611. National correct coding initiative (ncci) medically unlikely edits (mues) are used by the medicare administrative contractors (macs), to reduce improper payments for part b claims. The appropriate site modifier (rt or lt) must be appended to cpt code 20610 or 20611 to indicate if the service was performed unilaterally and modifier (50) must be appended to indicate if the service was performed bilaterally.
Place the cpt code 20610 in item 24d.
For example, if a physician performs arthrocentesis of the shoulder and 2 bursae of the same shoulder without ultrasound guidance, only 1 unit of service of cpt code 20610 may be reported. Use this page to view details for the local coverage article for billing and coding Sacroiliac joint injections and procedures.
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