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Trigger point injections - operative period

  1. Default Trigger point injections - operative period
    Medical Coding Books
    Occasionally we are performing a trigger point injection on a patient during the post operative period. This is done for a different diagnosis. Medicare is paying the medicine code but denying the trigger point code. Does anyone know why?

    Mary, CPC

  2. Default cmoore, cpc
    You need to use a 79 modifier on the trigger to keep from bundling into the surgical procedure and link to unrelated dx.

  3. Default
    But everything I am reading says not to use 79 for Medicare. Do you have any documentation that states this is acceptable?


  4. #4
    North Carolina

    Where did you read this? I have never heard of this.

    Use modifier 79 to report an unrelated procedure or service by the same physician during the postoperative period.

    Page 7

  5. #5
    Traverse City Michigan
    It might be the because of LCD the only payable DX for a Trigger Point is 729.1 Look at the medicare website for LCD coverage


  6. Default
    I need to clarify the actual procedure code I am referring to is 20610


  7. #7
    20610 is for a joint injection, not a trigger point injection. If your doc is actually doing trigger points, look at codes 20552 & 20553.

    Regardless, if either is done during a global period for an unrelated reason, append modifier -79.


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