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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

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Medicare Facility ?

$39.75

/ administration · CY 2026

Medicare Non-Facility ?

$68.81

/ administration · CY 2026

Total RVUs ?

2.06

non-facility setting

Related Admin Codes ?

—

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Code Overview

CPT® administration code details for 20610.

CPT Code Descriptor Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance
Code Category Administration Code
Route / Technique Intra-articular Injection
Code Type Initial / Primary Code

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.

Disclaimer: CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved. The information on BuyandBill.com is intended for informational purposes only and should not be used as billing or medical advice.

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

What are CPT Administration Codes?
CPT administration codes cover the work of giving a drug to a patient, such as an injection or an infusion. The drug itself is billed with its HCPCS J-code, and the administration is billed with a CPT code. Both go on the same claim. Learn More →
What is the Medicare Conversion Factor?
The conversion factor is the dollar amount CMS uses to turn a code's total RVUs into a Medicare payment. This page uses the CY 2026 conversion factor of $33.4009. CMS updates it every year in the Physician Fee Schedule final rule.
Facility vs. Non-Facility?
The non-facility rate applies in a physician office, where the practice pays for its own staff, supplies, and equipment, so the rate is usually higher. The facility rate applies in hospital outpatient departments and ASCs, where the facility bills for those costs separately.
How do I decide which administration code to use?
Pick the code that matches the type of drug, the route, and how long the administration takes. Start from the highest-ranking service you performed, then add the appropriate add-on codes for extra time or extra drugs. Manufacturer billing and coding guides often list suggested administration codes.

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AMA/CPT Copyright Notice

CPT codes, descriptions, and other data only are copyright 2025 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.