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64412 or 20610

N

nyyankees

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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..
 
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.
 
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