tci ED Coding & Reimbursement Alert - 2010 Issue 1

Use TPI Do's and Don'ts to Target Winning Claims

Documentation detailing these injection encounters can fortify claim. Counting the right items, knowing insurer-allowed diagnoses, and documenting affected muscles will get your trigger point injection (TPI) claims paid while protecting you from paybacks. Check out these coding do's and don'ts to optimize your TPI coding: Do Count Muscles Injected Coders should report 20552 (Injection[s]; single or multiple trigger point[s], 1 or 2 muscles) when the physician injects one or two muscles, confirms Marvel J. Hammer, RN, CPC, CCS-P, PCS, ACS-PM, CHCO, of MJH Consulting in Denver. When the physician injects three or more muscles, opt for 20553 (... single...

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