Wiki sacroiliac joint with a trigger point injection

[20Hiker16]

Need another opinion:

Doctor does a Sacroiliac joint injection, 27096, and then performs a trigger point injection to the piriformis muscle, 20552, in the same session, same side.

I am receiving an CCI edits that one of the above is bundled into the other.

Because these injections are at two different sites, one a joint the other a muscle, can they be billed safely with the 59 modifier?

I'll appreciate any recommendations.

 

[Micheles]

Hello,
I beleave the answer is yes, however anytime you get a bundling denial you should go to the www.cms.hhs.gov website to see if a modifier is allowed or not.


Hope this helps.

 

[Karyzmagirl]

CCI Unbundles - 27096


Find code: 20552 Warning! These codes may not be billed together. Check to see if a modifier is allowed and supported by documentation.

20552 $47.97 $34.26 0.66 0.62 0.24 0.05 1.33 0.95 Inappropriate Interpretation of CPT Code Definition Modifer- Allowed

You can bill these together with a modifer, I would use -59

 

[20Hiker16]

Thank you so much for participating.....

I appreciate the 2nd opinions....makes me feel more confident of my thought process.