Forum - Questions & Answers

Feb 24th, 2015 - swillis 3 

trigger point inj

looking for help on how to bill if a physician did 3 trigger point injections (20553) but to three different sites can I bill the code 3 times in the same visit? would I add modifier 51? also can I bill for the medication that is injected as well?

Feb 25th, 2015 - Jsmith201400 25 

re: trigger point inj

When you are coding for trigger point injections your major concern are the muscles injected. If there are 3 separate muscles injected then you would report 20553 x 1 unit, no modifiers. The description of CPT® code 20553 identifies that more than 1 injection was done. Reimbursement does not change.

In other words, only one CPT® code for trigger point injections should be reported, no matter how many areas were injected.

The medication is inclusive. Not billed separately.

The documentation must clearly identify each muscle injected. Make sure that your DX code supports medical necessity for the injection(s).

Look at this link from codapedia below;
http://www.codapedia.com/article_736_Easily-code-Trigger-Point-Injections-CPT%C2%AE-code.cfm



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