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Injection Procedures 20600 and 20550

Melissa Posted Fri 21st of May, 2010 23:32:55 PM

I wanted to know if anyone has a opinion on how to code multiple injections. So my hand surgeon is doing injections of the tendon sheath for tigger finger of the Middle finger and ring finger CPT 20550 x 1, than he does injections on the same fingers but in the PIP joint of each finger CPT 20600 x2. Per CCI the 20550 is bundled into 20600 yet a modifer is allowed. In this case would you bill both with a 59 modifer or the 20600 only. Also there is differnt diagnosis for each procedure.


SuperCoder Answered Mon 24th of May, 2010 06:17:41 AM

Yes you are correct that we cannot report these two codes together,only 20660 reportable. As per CCI edit these codes are considered as "Misuse of colum two code with column one code" but there are limited circumstances when the column two code may be reported on the same date of service as the column one code with a 59 modifier. E.g 83721 and 80061. To know more check the CCI policy at

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