How do you bill a 20552?
Effective March 1, 2017, Any combination of trigger point injections, CPT codes 20552 (Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)) and 20553 (Injection(s); single or multiple trigger point(s), 3 or more muscles), when billed >3 times in a 90-day period, for the same anatomic site, without …
What is procedure code 20552?
TRIGGER POINT INJECTIONS
| Code | Description |
|---|---|
| 20552 | INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S), 1 OR 2 MUSCLE(S) |
| 20553 | INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S), 3 OR MORE MUSCLES |
How do you bill multiple trigger point injections?
There continues to be a lot of confusion on proper coding for trigger-point injections. Two CPT4 codes can be used: 20552—Injection(s); single or multiple trigger point(s), one or two muscle(s); and. 20553—Injection(s); single or multiple trigger point(s), three or more muscle(s).
Does CPT code 20552 include the medication?
Because this code specifies a number of muscles injected, not a particular amount of medication or number of injections, you’ll report 20552 because only two muscles (trapezius and levator scapulae) were injected.
Does 20552 need a modifier?
Key point to remember! – these 2 CPT Codes 20552, 20553 DO NOT NEED A MODIFIER!
What is the difference between 20550 and 20552?
20550: Injection(s), single tendon sheath. Be sure to note that the injection is into the origin, where the tendon connects to the muscle. 20552: Injection(s), single or multiple trigger point(s), one or two muscles. 20553: Injection(s), single or multiple trigger point(s), three or more muscles.
Can CPT code 20552 be billed bilaterally?
Take-away! Remember that these codes CPT 20552, 20553 are NOT billable as unilateral. Modifier 50 (bilateral) will NOT apply. Bill by the number of muscles!
What diagnosis covers trigger point injections?
Trigger point injection therapy is used for the treatment of myofascial pain syndrome (MPS). According to the American Society of Regional Anesthesia and Pain Medicine.
Can 20552 be billed bilaterally?
20552 and 20553 are used to report single or multiple injections on 1-3 or more muscles. Bilateral surgical indicator 50 may apply as well, so be sure to code accordingly.
Can CPT 20552 be billed bilaterally?
Can 20552 and 20610 be billed together?
Answer: You are correct, trigger point injection (20552 or 20553) and a joint injection, for example, a shoulder joint injection, (20610) are bundled by Medicare. Therefore, doing a trigger point injection in the shoulder along with a shoulder joint injection should not be billed together.
Can 96372 be billed with 20552?
Yes…we only put the mod-59 on 96372.
What is medical billing code 20552?
CPT CODE 20552, 20553 – Trigger point injection. Trigger Point Injections are used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax.
What is billing code 20552?
Effective March 1, 2017, Any combination of trigger point injections, CPT codes 20552 (Injection (s); single or multiple trigger point (s), 1 or 2 muscle (s)) and 20553 (Injection (s); single or multiple trigger point (s), 3 or more muscles), when billed >3 times in a 90-day period, for the same anatomic site, without medical necessity, will be denied.
What is CPT code 20552?
The Current Procedural Terminology (CPT) code 20552 as maintained by American Medical Association, is a medical procedural code under the range – General Introduction or Removal Procedures on the Musculoskeletal System.
What is Medicare billing code?
The Medicare GP modifier refers to a Medicare billing code under the current Healthcare Common Procedure Coding System. This coding system is an industry standard for billing Medicare. These codes are designed and implemented by the Centers for Medicare & Medicaid Services, which is the federal regulating agency that oversees Medicare.