Trigger finger 20550 ?

In 2013 20550 was paid for multiple fingers when appending the digit modifier / identifier. Early in 2014 'someone' received info not to use the digit modifier, and instead append 76 and 76 59 modifiers. However, now the initial is denying out as a duplicate, billed without any modifier (20550, 20550 76, 20550 59 76). I think using the digit modifier would remove any confusion as to the injection being performed on 3 different fingers. Any experience with Medicare on this subject? Thanks in advance for any input!

re: Trigger finger 20550 ?

I would use the digit modifiers. They are separately payable for different sheaths. I wouldn't use 59. Modifier 76 I would think would pay but the digit modifier mostly clearly establishes different fingers.