We are a new medically integrated practice in Indiana. We are billing Trigger Point Injections to Anthem BCBS 20552 and 20553. Anthem is denying the code because an accompanying procedure is missing on the same date of service. We were told by a billing company not to bill with an exam and not to bill with Lidocaine . Since Lidocaine does not have a code. However other sources say to bill the Lidocaine with J3490. We have been told to bill with ultrasound guidance. We did and it was still denied. I am really confused as to what to do next. Has anyone had this same problem? We have no problems with other payers paying for these codes.