Results 1 to 2 of 2

Help billing 20551

  1. Default Help billing 20551
    Medical Coding Books
    I work in a family practice in Arizona and my Dr did (4) trigger point injections (20551) on the same day of service. Each of the injection were in a different location. Two were on the right side and two were on the left side. I recevied a denial from medicare even though I billed them with the modifier 51 attached, and I even tried with the 59 added on. Can anyone tell me how this should have been billed out originally.

    Thanks for all the help.

  2. #2
    Columbia, MO
    20551 is a tendon sheath injection and if you have the medical necessity for a trigger point the perhaps your denial is for medical necessity.
    If you gave 4 trigger point injections then you use 20553 which is for 3 or more muscles so you bill one code, one line, one unit, no modifier.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. 20551 and 20553
    By in forum Anesthesia
    Replies: 3
    Last Post: 08-14-2014, 06:05 AM
  2. 20551 for multiple areas
    By CBC in forum Anesthesia
    Replies: 9
    Last Post: 09-20-2013, 10:02 PM
  3. 20551 & a4466
    By joanne71178 in forum Orthopaedics
    Replies: 0
    Last Post: 10-31-2012, 11:29 AM
  4. 20550 vs 20551
    By stogsmom3 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-17-2012, 09:03 AM
  5. 20551 multiple injections
    By pammalou in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 08-11-2010, 09:32 PM

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?


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.