Reader Questions:
20552, 20553 Equal Paraspinal Muscle TPI
Published on Wed Nov 17, 2010
Question: My understanding is that the paraspinal muscle is a group of individual muscles that combine and run along the spine. Our provider administered bilateral trigger point injections in the cervical paraspinal area. From a coding perspective, should I consider these two injections into two separate muscles?Answer: Coding for trigger point injections is based on the total number of individual muscles. Injections of trigger points into one or two muscles would be billed with 20552 (Injection[s]; single or multiple trigger point[s], 1 or 2 muscle[s]) whereas trigger point injections into three or more muscles would be reported with 20553 (Injection[s]; single or multiple trigger point[s], 3 or more muscle[s]).Compliant documentation for trigger point injections would include the specific muscles injected rather than use of a broad term such as paraspinal. Bilateral muscles that have separate origin and insertion sites typically are considered to be separate muscles. For example, trigger point [...]