The patient presented today with swelling and pain in the right knee. The patient suffers from primary osteoarthritis. Following an expanded problem-focused history and expanded problem-focused examination, the physician aspirated the joint and gave the patient an injection of steroid medication. Select the appropriate codes for today's visit:

Question

Quizplus · Accepted Answer

The correct codes are 99213-25 for the office visit with a modifier -25 indicating that a significant, separately identifiable evaluation and management service was provided by the same physician on the same day of the procedure; 20610 for the aspiration and injection into the knee joint; and M17.11 for primary osteoarthritis of the right knee. The modifier -25 is necessary to indicate that the office visit was separate and distinct from the procedure.

The Patient Presented Today with Swelling and Pain in the Right