tci ED Coding & Reimbursement Alert - 2018 Issue 3

You Be the Coder: Count Muscles to Pinpoint TPI Code

Question: A patient reported to the ED complaining of spasming pain in her left calf. After performing a level-three E/M service, the physician diagnosed muscle spasms in the left calf. The ED physician administered two trigger point injections (TPIs) into the patient's calf muscle, and then instructed her on aftercare. Which TPI code applies? Supercoder.com Subscriber Answer: When reading through CPT®'s trigger point injection options, you'll note that the codes differ based on the number of muscles treated. Therefore, since your physician injected only one muscle, your coding would appear as follows: 20552 (Injection(s); single or multiple...

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