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Updated January 1st, 2026
CPT Administration Code: 20610 – Administration Code
Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance
Medicare Facility ?
$39.75
/ administration · CY 2026
Medicare Non-Facility ?
$68.81
/ administration · CY 2026
Total RVUs ?
2.06
non-facility setting
Code Overview
CPT® administration code details for 20610.
About Administration Code – 20610
CPT 20610 reports aspiration and/or injection of a major joint or bursa, such as the shoulder, hip, knee, or subacromial bursa, performed without ultrasound guidance. It is used for diagnostic aspiration of fluid, therapeutic injection of medication (e.g., corticosteroid, anesthetic, viscosupplementation), or both during the same encounter. The code is reported once per joint or bursa treated, regardless of whether aspiration, injection, or both occur.
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20610 RVU Breakdown & Medicare Reimbursement
Based on the CY 2026 CMS Physician Fee Schedule. National payment amounts, before geographic (GPCI) adjustment.
| Component | Facility | Non-Facility |
|---|---|---|
| Work RVU — physician work | 0.77 | 0.77 |
| Practice Expense RVU — staff, supplies, equipment | 0.29 | 1.16 |
| Malpractice RVU — professional liability | 0.13 | 0.13 |
| Total RVUs | 1.19 | 2.06 |
| Medicare Payment — Total RVUs × $33.4009 CF | $39.75 | $68.81 |
CY 2026 Medicare Conversion Factor: $33.4009.
20610 Locality-Adjusted Rates
Medicare payment varies by locality via GPCI adjustment. Log in to view rates for all 100+ Medicare localities.
| Medicare Locality | Facility | Non-Facility |
|---|---|---|
| National (unadjusted) | $39.75 | $68.81 |
| Los Angeles–Long Beach, CA | ||
| Manhattan, NY | ||
| Houston, TX | ||
| Miami, FL |
Drugs Commonly Billed with 20610
HCPCS-coded drugs frequently administered under this CPT code. The list below is not exhaustive.
| HCPCS Code | Drug | HCPCS Descriptor |
|---|---|---|
| J7318 | Durolane | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg |
| J7323 | Euflexxa | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose |
| J7326 | Gel-One | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose |
| J7328 | Gelsyn-3 | Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg |
| J7320 | GENVISC 850 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg |
Frequently Asked Questions
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