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Article Guidance. The following coding and billing guidance is to be used with its associated Local coverage determination. It is expected that trigger point injections would not usually be performed more often than three sessions in a three month period. If trigger point injections are performed more than three sessions in a three month period ...

Only one code from 20552 or 20553 should be reported on any particular day, no matter how many sites or regions are injected. Coding Information. CPT/HCPCS Codes. Expand All | Collapse All. Group 1 (2 Codes) Group 1 Paragraph. Note: Providers are reminded to refer to the long descriptors of the CPT codes in their CPT book.

For a list of ICD-10-CM codes that may support medical necessity for trigger point injections, be sure to look up 20552 or 20553 in findacode.com and on the code page click on the tab titled "Cross-A-Code" for a list of Medicare-approved ICD-10-CM codes that support medical necessity for these codes.

CPT 20553 refers to the injection procedure for single or multiple trigger points in three or more muscles. This article will cover the description, procedure, qualifying circumstances, usage, documentation requirements, billing guidelines, historical information, similar codes, and examples of CPT 20553. 1. What is CPT 20553?

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History/Background and/or General Information. Trigger point injection is one of many modalities utilized in the management of chronic pain. Myofascial trigger points are self-sustaining hyperirritative foci that may occur in any skeletal muscle in response to strain produced by acute or chronic overload.

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CPT ® 20553, Under General Introduction or Removal Procedures on the Musculoskeletal System The Current Procedural Terminology (CPT ® ) code 20553 as maintained by American Medical Association, is a medical procedural code under the range - General Introduction or Removal Procedures on the Musculoskeletal System.

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CPT 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 muscle (s) 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.

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Modifier 50 should not be reported with CPT codes 20551, 20552, 20553 or 20612, but may be reported, when appropriate, with CPT codes 20550 and 20526. For an Ambulatory Surgical Center (ASC), the appropriate site modifier (RT and/or LT) should be appended to indicate if the service was performed unilaterally or bilaterally.

greatbiller Guru Messages 180 Location Fresno Best answers 0 Jun 19, 2014 #2 20552 is for 1 or 2 muscles only. 20553 is for three or more muscles.

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Therefore when the internist injects three different muscles you can only report one code 20553. Before CPT introduced 20552-20553 in 2002 internal medicine coders could use modifier -59 to report 20550 (Injection; tendon sheath ligament or ganglion cyst) multiple times for trigger point injections in different sites. "

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