CPT for Bupivacaine injection for pain management

if a surgical arthroscopy of the knee is performed and withdrawal of the scope. The surgeon then injects bivipacaine for postoperative pain management directly into the knee joint, may code 20610 be
reported in addition to the CPT code for the specific arthro-
scopic procedure performed?

Answer : Code 20610, Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa), should not be reported when performed concurrent with another intra-articular procedure (eg, knee arthroscopy). However, should the bupivacaine injection be performed at an anatomic site other than that of the knee arthroscopy, then the appropriate code from the 20600-20610 series should be reported, as appropriate, with modifier 59, Distinct procedural service, appended.

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