The cyst is carefully removed (pulled out and then released from the skin) through an incision that is usually smaller than the size of the lesion. Keep in mind that you can bill the repair (e.g., intermediate) based on the length of the defect (which in your example is 3.1 centimeters long).
Full Answer
Which CPT code applies to aspiration of a baker's cyst?
Thanks! Question: Which CPT code applies to aspiration of a Baker's cyst? Answer: Assuming this was a puncture aspiration, your best bet is 20610 (Arthrocentesis, aspiration and/or injection; major joint or bursa [e.g., shoulder, hip, knee joint, subacromial bursa]).
What is the best treatment for Baker's cyst?
Patient has an acute medial meniscus tear, Baker's cyst and patellar osteoarthritis. Physicain performs a partial medial meniscectomy, chondroplasty of patella and drains the Baker's Cyst.
Is 20610 or 20612 the correct code for a baker's cyst?
I have read that 20612 is not appropriate because a ganglion cyst and a Baker's Cyst are completely different. I have read that 20610 is not accurate because its technically not a joint its behind the knee. I also question 10160 as I have seen mention of that code and one site said to use 20550 or 20551.
What is the CPT code for aspiration of a ganglion cyst?
Answer: Assuming this was a puncture aspiration, your best bet is 20610 (Arthrocentesis, aspiration and/or injection; major joint or bursa [e.g., shoulder, hip, knee joint, subacromial bursa]). Watch out: Many coders mistakenly choose 20612 (Aspiration and/or injection of ganglion cyst any location).
What is the CPT code for Baker's cyst aspiration?
Question: Which CPT code applies to aspiration of a Baker's cyst? Answer: Assuming this was a puncture aspiration, your best bet is 20610 (Arthrocentesis, aspiration and/or injection; major joint or bursa [e.g., shoulder, hip, knee joint, subacromial bursa]).
What is included in CPT code 20610?
CPT® 20610 describes aspiration (removal of fluid) from, or injection into, a major joint (defined as a shoulder, hip, knee, or subacromial bursa), or both aspiration and injection of the same joint. The procedure may be performed for diagnostic analysis and/or to relieve pain and swelling in the joint.
What is procedure code 20611?
20611. ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT OR BURSA (EG, SHOULDER, HIP, KNEE, SUBACROMIAL BURSA); WITH ULTRASOUND GUIDANCE, WITH PERMANENT RECORDING AND REPORTING.
What is the CPT code for popliteal cyst aspiration?
20610 is for drainage of fluid (any type) from a major joint, 10160 is for drainage of a more superficial or subcutaneous collection of fluid (any type).
What is the difference between 20610 and 20611?
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.
Can CPT code 20610 be billed with 99213?
Per CCI edits, CPT codes 20610-RT and 99213-25 cannot be billed together; however a modifier is allowed with supporting documentation.
Can 20611 and 76942 be billed together?
For example, the parenthetical note following CPT code 20611 states: “(Do not report 20610, 20611 in conjunction with 27370, 76942)”.
How do I bill a CPT 20600?
If the insurance requires one line to be billed for a bilateral service:Bill one line item and one unit with CPT code 20600 (arthrocentesis, aspiration and/or injection; small joint or bursa)Double your fee.Append modifier -50 as the primary modifier to indicate a bilateral service.More items...•
What is CPT J0702 used for?
HCPCS code J0702 for Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg as maintained by CMS falls under Drugs, Administered by Injection .
What is the CPT code for aspiration of cyst?
Code. Description. 10160. Puncture aspiration of abscess, hematoma, bulla, or cyst.
What is procedure code 77002?
fluoroscopic guidanceCode 77002 is used to describe fluoroscopic guidance for all types of needle placement, i.e., biopsy, aspiration, injection, or localization device. Code 77003 is used to describe the fluoroscopic guidance and localization of a needle or catheter tip for spine or paraspinous injection procedures.
Does CPT 20605 require a modifier?
The biller billed the CPT code 20605 (Arthrocentesis, aspiration and/or injection; intermediate joint, bursa or ganglion cyst ) without the modifier-50. The insurer processed the claim and paid for unilateral service (100%) instead of bilateral service (150%).
General Information
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Article Guidance
Medicare does not cover cosmetic surgery or expenses incurred in connection with such surgery (CMS publication 100-02; Medicare Benefit Policy Manual, Chapter 16, Section 20). including complications resulting from non-covered services (CMS publication IOM 100-02, Chapter 16, Section 180).
Bill Type Codes
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Revenue Codes
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.
