- ✓ Appointment
- ✓ Registration
- ✓ Eligibility
- ✓ Encounter
- 5 Claim
ICD-10 Search
Query: chronic right knee osteoarthritis
chronic right knee osteoarthritis
M17.11Unilateral primary osteoarthritis, right knee96%
M17.12Unilateral primary osteoarthritis, left knee44%
M17.0Bilateral primary osteoarthritis of knee31%
M25.561Pain in right knee92%
CPT Search
Suggested from documented services
new patient visit + knee injection
99204Office/outpatient visit, new patient, 45 min25
99203Office/outpatient visit, new patient, 30 min—
20610Arthrocentesis/injection, major jointRT
73562Radiologic exam, knee, 3 viewsRT
Diagnosis → Procedure Mapping
Pointer assignment for the 837P claim
| CPT | Description | Modifier | Dx pointer | Units | Charge |
|---|---|---|---|---|---|
| 99204 | Office visit, new patient, moderate complexity | — (AI: add 25) | M17.11 | 1 | $245.00 |
| 20610 | Arthrocentesis, major joint — knee injection | RT | M25.561 | 1 | $198.00 |
| 73562 | Radiologic exam, knee, 3 views | RT | G89.29 | 1 | $85.00 |
| J1030 | Methylprednisolone acetate, 40 mg · HCPCS | — | M17.11 | 1 | $22.00 |
| A4550 | Surgical tray · HCPCS | — | M17.11 | 1 | $0.00 |
Coding advisory
99204 and 20610 on the same date of service require modifier 25 on the E/M line for UnitedHealthcare. Run AI Claim Review to validate and auto-apply.
Next: AI Claim Review