Injection in Elbow 20605

NP injected LEFT elbow lateral and medial and RIGHT elbow lateral and medial. They have charged for 4 injections of Triamcinalone 20605. Is this correct? Does modifier 59 go on each injection? Patient was here for an Office Visit as well.

Please help.

Thank you,
Vicki

re: Injection in Elbow 20605

992xx-25, 20605-LT, 20605-59, LT, 20605-RT, 20605-59, RT, J3301 x ?

Modifier -59 Distinct Procedural Service: Under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-E/M services performed on the same day. Modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together, but are appropriate under the circumstances. Documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. However, when another already established modifier is appropriate it should be used rather than modifier 59. Only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. Note: Modifier 59 should not be appended to an E/M service. To report a separate and distinct E/M service with a non-E/M service performed on the same date, see modifier 25.

re: Injection in Elbow 20605

Thank you very much!!