20553?

[Jennifer17]

Has this code been deleted??? if so is there a crosswalk to a new code?
Thanks!

 

[kjoyner]

no this code is still valid.

 

[kjoyner]

jennifer, do you do both coding and billing ?

 

[Jennifer17]

yes both - CMS is denying 20553 https://www.cms.gov/medicare-covera...22&ver=24&Date=&DocID=L33622&bc=iAAAABAAAAAA&

10/01/2019

R7

This LCD was converted to the new "no-codes" format. There has been no change in coverage with this LCD revision.

Revisions Due To Code Removal

 

[dkissel]

per the LCD you point to - Only one trigger point injection procedure should be reported on any particular day, no matter how many sites or regions are injected. Isn't 20553 for multiple muscles? Is this maybe why this is getting denied? I've been out of interventional medicine for a while.... just a thought

 

[Melissa Harris CPC]

Jennifer,

I have not seen this denial. Have you checked your local MAC? I believe you have NGS Medicare like I do. I do see the same update as of 10/1/19 but I haven't had any issues with claim payments of trigger points.

Melissa Harris, CPC
The Albany and Saratoga Centers of Pain Management