64412 or 20610

[nyyankees]

quick one here:
"A 25 gauge needle was then inserted perpendicular and caudally to a depth of 1cm midway between the upper and middle third of the posterior border of the right-sternocleidomastoid muscle....a therapeutic solution was injected".

I say 64412 but we have BOTH 20610 and 64412 on the superbill. Any input appreciated..

[hgolfos]

nyyankees,

I'm pretty iffy on both of those codes. Your sample dictation mentions the sternocleidomastoid muscle would this not be a trigger point injection? 64412 is a nerve injection, and 20610 is a large joint injection, but I don't see any mention of either a nerve or a joint there. 20552 trigger point injection 1 or 2 muscle groups is probably the code I would use.

[nyyankees]

Yes trigger point could be the one...thanks