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trigger point

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    Wiki Occipital Nerve Block, Facial Chemodenervation, and Paraspinal Trigger point injections billed in same visit

    Hello, We typically perform (TP/ONB) Trigger Point/Occipital Nerve Blocks for migraines and neck pain in the hospital outpatient clinic. The provider has added chemodenervation for TMJ on the same visit. Normally we bill 20552- XU, 64450 and 64405-50 for the following documentation: "The...
  2. J

    Wiki How to code for this trigger point injection

    One of my providers reported an E/M service with a trigger point injection. Normally I do not have an issue with coding these, but this one is documented a little differently. Normally our providers inject triamcinolone/Kenalog with this type of injection and this is the first time I'm seeing...
  3. A

    Wiki Trigger point injection performed in the home?

    Has anyone had any experience or seen trigger point injections being performed during a home visit? Can these safely be done in the home?
  4. A

    Wiki Trigger point injection performed in the home?

    Has anyone had any experience or seen trigger point injections being performed during a home visit? Can these safely be done in the home?
  5. C

    Wiki 51/59 Nerve Block Modifiers - bundling issue

    Hello- I work for a neurology office - having some difficulty with a bundling issue. On an extreme case I could bill for one patient: 64450 64405 20553 64615 96372 How i was trained - typically I would use: 64450 - 50, 59 64405 - 59 20553 64615 96372 - 59 BCBS - pays for all minus 20553 -...
  6. I

    Wiki Trigger Point Injection Code(s)

    Please review the attached image for handwritten details about the Injection given to a patient in Urgent Care settings. If someone can please provide us the J code with how many units of 96372? Thank you
  7. J

    Wiki Trigger Point Injections specificity

    Is it necessary to list the specific names of the muscles injected, or can I bill based on the area of the muscle- for example, "Bilateral C2-3 paraspinous (1 cc x 2 injections), bilateral C6-7 paraspinous (3 cc x 2 injections), bilateral C7-T1 paraspinous (3 cc x 2 injections), bilateral T2-3...
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