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Effective January 21, 2020, Medicare will cover all types of acupuncture including dry needling for chronic low back pain within specific guidelines in accordance with NCD 30.3.3. CPT code 20551 should be used when the origin or insertion of a tendon is injected, in contrast to an injection of the tendon sheath, CPT code 20550.

20551 is for trigger points into various muscles, just one or 2. More than 2 muscles injected is 20552. Both of these codes can be billed only a single time per encounter. If your physician is injecting tendons, the code would be 20550 Injection (s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")

My coding conclusion is that CPT©20551 is the correct code because we know the needle was inserted at the lateral epicondyle and by definition, this is the site of the origin of the wrist extensor supinator muscle group. The procedure described by CPT© 20551 is an injection at the point of tendon insertion/origin.

20551 Injection(s); single tendon origin/insertion 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 ... of injections exceeds three to the same site or local area in a six-month period, the record must justify these added injections

California Code, Government Code - GOV § 20551 Current as of January 01, 2019 | Updated by FindLaw Staff Welcome to FindLaw's Cases & Codes, a free source of state and federal court opinions, state laws, and the United States Code.

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Available Formats: HTML | PDF Document Type: Program Announcements & Information. View Program Page Document Number: nsf20551 Public Comment: Document History: Posted: March 4, 2020.. For more information about file formats used on the NSF site, please see the Plug-ins and Viewers page.

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Gerber GDF20551 Overview. Viper GDF20551 0.9 and 1.1 GPF Floor Mounted Dual Flush 12" Rough In Two Piece Round Front Toilet, in White Available at AppliancesConnection. Features: 0.97 gpf (average water consumption) (0.9gpf for small flush 1.1gpf for large flush) saves up to 39% more water vs traditional 1.6 gpf toilet. 12" Rough-In.

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