tci Part B Insider - 2003 Issue 22

Injections: Doctors Confuse 20552 With 20551, Risk Audits

Understand the difference between trigger points and tendon sheathsIt used to be that you could bill for every single trigger point injection your physician performed, using CPT code 20550. Now you can only bill one code for all trigger point injections, and some physicians seem to suffer from nostalgia. Part B carrier Cigna says in a new Medical Review frequently asked questions list that many physicians have started improperly billing multiple units of 20551, a code for tendon origin/insertions. Cigna notes that these physicians used to bill for multiple trigger point injections, back when you could still do...

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