Wiki Botox injection

dpetersen

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If a pt receives a trigger point injection (20552) in the same site but having to inject multiple times, can we charge for each injection with a 59 modifier, or can we only charge once? If the injection is in a different site (ex. lt arm, rt arm), can we charge each injection with a 59 modifier on the second injection?
 
No 20552 is for injections in one or 2 muscles regardless of the number of injections per muscle. If 3 or more muscles then 20553 will be used. but again it is the number of muscles not the number of injections that count.
 
If you're billing for Botox, then you wouldn't bill trigger pont injections. Botox is considered neurolytic destruction, so you use CPTcodes 64612-64617.
 
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