Got coding questions? Your Academy has the answers. Each month we feature a member’s question with an answer provided by AAPM&R’s Reimbursement and Policy Review Committee (RPRC).
Q: How should I bill for injecting dehydrated human amnion chorion membrane into a joint? Can I bill the code for joint injection (20610), image guidance (76942 or 77002) with a J code for the injectate?
A: Injection of dehydrated human amnion chorion membrane should be billed using a single unlisted code. The injection, imaging guidance, and injectate cannot be billed separately in this instance. For this service, the unlisted code 20999 Unlisted procedure, musculoskeletal system, general, would be appropriate. The unlisted code is appropriate in cases when there isn’t a J code that appropriately describes the injectate being used.
Find additional resources related to reimbursement here. Do you have a coding or billing question? Contact AAPM&R at firstname.lastname@example.org for assistance.
Accurate coding is the responsibility of the provider. This article is intended only as a resource to assist in the billing process.