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Thread: Trigger point injections

  1. #1

    Default Trigger point injections

    AAPC: Back to School
    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. #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. #3


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


  4. #4
    Join Date
    Apr 2007
    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
    Join Date
    Apr 2007
    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. #6


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


  7. #7
    Join Date
    Apr 2007
    Chicopee, MA


    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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