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Thread: 64412 or 20610

  1. #1
    Join Date
    Apr 2007
    Long Island/New York

    Default 64412 or 20610

    AAPC: Back to School
    quick one here:
    "A 25 gauge needle was then inserted perpendicular and caudally to a depth of 1cm midway between the upper and middle third of the posterior border of the right-sternocleidomastoid muscle....a therapeutic solution was injected".

    I say 64412 but we have BOTH 20610 and 64412 on the superbill. Any input appreciated..

  2. #2



    I'm pretty iffy on both of those codes. Your sample dictation mentions the sternocleidomastoid muscle would this not be a trigger point injection? 64412 is a nerve injection, and 20610 is a large joint injection, but I don't see any mention of either a nerve or a joint there. 20552 trigger point injection 1 or 2 muscle groups is probably the code I would use.
    Last edited by hgolfos; 02-04-2010 at 10:27 AM. Reason: adding TP code

  3. #3
    Join Date
    Apr 2007
    Long Island/New York


    Yes trigger point could be the one...thanks

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