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Thread: sacroiliac joint with a trigger point injection

  1. #1
    Join Date
    Apr 2007
    Bennington, VT

    Default sacroiliac joint with a trigger point injection

    AAPC: Back to School
    Need another opinion:

    Doctor does a Sacroiliac joint injection, 27096, and then performs a trigger point injection to the piriformis muscle, 20552, in the same session, same side.

    I am receiving an CCI edits that one of the above is bundled into the other.

    Because these injections are at two different sites, one a joint the other a muscle, can they be billed safely with the 59 modifier?

    I'll appreciate any recommendations.

  2. #2
    Join Date
    Apr 2007


    I beleave the answer is yes, however anytime you get a bundling denial you should go to the www.cms.hhs.gov website to see if a modifier is allowed or not.

    Hope this helps.

  3. #3


    CCI Unbundles - 27096

    Find code: 20552 Warning! These codes may not be billed together. Check to see if a modifier is allowed and supported by documentation.

    20552 $47.97 $34.26 0.66 0.62 0.24 0.05 1.33 0.95 Inappropriate Interpretation of CPT Code Definition Modifer- Allowed

    You can bill these together with a modifer, I would use -59

  4. #4
    Join Date
    Apr 2007
    Bennington, VT


    Thank you so much for participating.....

    I appreciate the 2nd opinions....makes me feel more confident of my thought process.

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