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Trigger point injections

  1. Question Trigger point injections
    Exam Training Packages
    Can we bill the HCPC code for the medication as well as the trigger point injection or is the medication inclusive with the injection.

    Thank you.

    Vicky K

  2. Default
    Quote Originally Posted by vkratzer View Post
    Can we bill the HCPC code for the medication as well as the trigger point injection or is the medication inclusive with the injection.

    Thank you.

    Vicky K
    The Medication is inclusive with the injection.

  3. #3
    Location
    North Carolina
    Posts
    3,126
    Default
    Majority of carriers bundle the "caine" family meds into the trigger point. Are you using another medication?

  4. Default
    We used marcaine and aristocort.

  5. #5
    Location
    North Carolina
    Posts
    3,126
    Default
    It would seen that you could bill for aristocort. We bill for kenalog (J3301) and receive payment. Aristocort (forte) is J3302. It appears that kenalog and aristocort are in the triamcinolone family.

  6. Default Trigger point injections with ultrasound guidance
    Hello Billers and Coders,

    Can someone tell me Why Ultrasounds are being denied with certain insurance carriers for trigger point injections and what are the general rules for billing trigger point injections with ultrasounds? Is there a specific rule for treating the patient with TPI 20553 weekly. Please help.
    Last edited by issbilling; 04-13-2017 at 11:28 AM.

  7. Default
    check the payer policies... many, like BCBS of TN specifically state that US guidance is considered investigation, when done with Trigger point injections. we have appealed- but haven't had much luck.

  8. #8
    Default
    https://www.aapc.com/memberarea/foru...njections.html

    Peace
    @_*
    Seems to address the injection with ultrasound guidance questions.

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