Wiki injections

[JYSPA]

If three separate bursa is injected at the same hip joint, can CPT 20610 be billed 3X ?

CPT 20552 is bundled with CPT 20610, can I use modifier 59 to unbundle if the location is the same knee/shoulder/hip etc? How to use 59 modifier appropriately when CPT 20552 done with CPT 20610

 

[OCD_coder]

Per the AMA CPT Asst March 2001, the 20610 should only be used once per major joint.

There are LCD's for the trigger point injection, as long as a separate anatomical area was identified with the specific muscle injected the the modifier 59 could potentially be appropriate. It would be best if the note could be reviewed to support your question.