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Thread: injection codes for 20550, 20552 and 20553

  1. #1
    Join Date
    Apr 2007
    Posts
    43

    Default injection codes for 20550, 20552 and 20553

    I am so confuse about these 3 codes. if the doctor injects 6 injections to the left upper trapizuz and 3 injections to left lower back. What is the best way to code this case.

    Many thanks for your input.

  2. #2

    Default

    2017 ICD-10-CM Coding Book
    the difference between 20550 and 20552/20553 is 20550 is an injection into a single tendon sheath or origin. If the Dr. is injecting trigger points, 2 or fewer muscle groups is 20552 and 3 or more muscle groups is 20553. Here is a break down of the muscle groups to help you decide how many different muscle groups were injected:
    1. Head
    2. Cervical Spine
    3. LUE including shoulder
    4. RUE including shoulder
    5. Thoracic Spine
    6. Lumbosacral spine
    7. LLE including hip
    8. RLE including hip
    **multiple injections into the same muscle group are still considered one muscle group**

    In this case I would code it 20552 since he did lumbar spine and left shoulder (2 muscle groups). Hope this helps

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