tci ED Coding & Reimbursement Alert - 2022 Issue Q3

Reader Questions: Target Muscles on Trigger Point Shots

Question: If the ED physician performs trigger point injections (TPIs) to alleviate pain, how do I code for the injection(s)? Massachusetts Subscriber Answer: TPIs can be tricky, because you have to count the number of muscles your provider injected — not the number of injections overall — to correctly code TPIs. If the physician injects one or two muscles, report 20552 (Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)). You’ll report this code regardless of the number of times the physician injects the muscles. So, if they perform two TPIs on the patient’s left shoulder...

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