Wiki Ultrasound (76882) and Trigger point injection(20552)

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CPT 20551 and 20552 continue to be denied when billed with a u/s cpt. Those two codes, are they not supposed to be billed together?

If they are billed in another injection code they are denied for medical necessity.

Can anyone help here
I think I would need to see your documentation on this as to why you are using 76882. Is this a separate exam, or is your provider doing the injections w/ultrasound guidance, because then your code would be 76942. There are some insurances (including Aetna) that will not pay for US guidance w/TPI.