Wiki Trigger Point Injections

[DGgirll20]

My doctor performed per his op note 2 bi-lateral TPI 20553-50 on L 4-5 & L5-S1 under fluoroscopic guidance with steroid injected. He injected these over hardware (screws) due to pain . Can we bill 2 trigger points ? Would we add a 59 or 51 to the 2nd code ?

 

[jkyles]

Hi there, you can only report one trigger point. The codes in this group are based on the number of muscles injected. (One or two muscles OR three or more muscles):

• 20552 Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)
• 20553 Injection(s); single or multiple trigger point(s), 3 or more muscles

To take an extreme hypothetical, if the doctor treated trigger points in every muscle group in the patient's body, you would report 20553, once.

 

[DGgirll20]

Hi there, you can only report one trigger point. The codes in this group are based on the number of muscles injected. (One or two muscles OR three or more muscles):

• 20552 Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)
• 20553 Injection(s); single or multiple trigger point(s), 3 or more muscles

To take an extreme hypothetical, if the doctor treated trigger points in every muscle group in the patient's body, you would report 20553, once.

Thank you That is what I thought that only 1 can be billed , just wanted to make sure .