tci Part B Insider - 2011 Issue 1

Reader Questions: 20552, 20553 Cover Paraspinal Muscle TPI

Question: My understanding is that the paraspinal muscle is a group of individual muscles that combine and run along the spine. Our provider administered bilateral trigger point injections in the cervical paraspinal area. From a coding perspective, should I consider these two injections into two separate muscles?Answer: Coding for trigger point injections is based on the total number of individual muscles. Injections of trigger points into one or two muscles would be billed with 20552 (Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)) whereas trigger point injections into three or more muscles would be reported with...

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