Results 1 to 7 of 7

Trigger point injections - operative period

  1. Default Trigger point injections - operative period
    Exam Training Packages
    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?

    Mary,CPC

  4. #4
    Location
    North Carolina
    Posts
    3,126
    Default
    Mary,

    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.

    http://www.cms.hhs.gov/Transmittals/...ads/R442CP.pdf

    Page 7

  5. #5
    Location
    Traverse City Michigan
    Posts
    7
    Default
    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

    Trish

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

    Mary

  7. #7
    Default
    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.

    Erica

Similar Threads

  1. Trigger point injections
    By vkratzer in forum Family Practice
    Replies: 7
    Last Post: 05-12-2017, 01:49 PM
  2. Trigger Point injections-I'm new
    By metzger130 in forum Medical Coding General Discussion
    Replies: 5
    Last Post: 04-13-2017, 01:21 PM
  3. Replies: 3
    Last Post: 08-13-2014, 10:27 PM
  4. Trigger Point Injections-Can we assign
    By melissaannsmith in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 08-15-2012, 06:04 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.