Wiki Need confirmation coding for TPI 20552 vs 20553.. Please!!

[Gloria1990]

Hello everyone,

Here is a coding example that I need help with;

Location: back and shoulder
Back location injected: Bilateral lumbar
Shoulder injected: R periscapular

I'd code this as 20552, however the doctor wants it coded as 20553. I only see the back and the shoulder being injected, but he is going off bilateral when bilateral coding is not considered (modifier 50 not allowed). Would someone PLEASE clear up my confusion with TPI with the example above.


Thank you in advance,

 

[davidskm]

I would go with 20553; the back has two muscles if he did the bilateral trigger points in the lumbar muscle, and the one for the shoulder equals (3) so 20553 seems appropriate.
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Back location injected: Bilateral lumbar
Shoulder injected: R periscapular

https://www.google.com/url?sa=i&rct...aw00CBz7iwyHiFh7-jIpLxB9&ust=1507827356977862

 

[Gloria1990]

Thank you