Wiki Trigger Point Injections specificity

[jessicahocker]

Is it necessary to list the specific names of the muscles injected, or can I bill based on the area of the muscle- for example, "Bilateral C2-3 paraspinous (1 cc x 2 injections), bilateral C6-7 paraspinous (3 cc x 2 injections), bilateral C7-T1 paraspinous (3 cc x 2 injections), bilateral T2-3 paraspinous (3 cc x 2 injections), bilateral T4-5 (3 cc x 2 injections), bilateral T5-6 paraspinous (3 cc x 2 injections)"?

The provider wants this to be 20553; but I only see one "muscle" listed here. Or two if I can count the areas in the spine.

Any guidance for a new pain management coder?

Thanks in advance.

 

[Walker22]

I believe that the individual muscles injected would have to be documented in order to choose between 20552 and 20553. This would include lateral notation as well (e.g. left bicep, right deltoid, etc).