Just read an article titled, "Move over obsolete pain management Coding, Part 1: make room for the latest in CPT coding in the april 2012 coding edge and I do not agree with what they say about the 20610 and 20552. They say to use the 20552 if there is no imaging guidance done. My physicians do these two procedures all the time and have never used any imaging guidance for them. The second thing that bothers me is 20610 is joint aspiration/injections and the 20552 is a trigger point. They are not even the same thing, so to use one instead of the other is ridiculous. Wondering what other peoples thoughts are on this and if I am reading this wrong please let me know, as the other coders here are reading it the same way. PLEASE ADVISE!!!!!!!!!