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Determine creatinine clearance before each dose and periodically monitor renal function during treatment with pemetrexed

A practice performing 50 ultrasound-guided injections monthly that bills 20610 instead of 20611 because ultrasound documentation is incomplete loses approximately $1,770 monthly in legitimate reimbursement

J-Code Drug Billing for CPT 20610: JW, JZ, and EJ Modifier Requirements CPT 20610 covers the physicians work in performing the arthrocentesis procedure

Administer slowly and with caution in doses over 0.10 mL (50 mg)

Always use a new syringe for each injection

Swirl gently or invert slowly until fully dissolved (typically 3060 seconds)