tci ED Coding & Reimbursement Alert - 2023 Issue Q1

Reader Question: Code Additional Services During TPIs

Question: When the provider performs trigger point injections (TPIs), can you code separately for separate needle insertion, drug supply, or guidance? North Dakota Subscriber Answer: No, no, and yes. In the notes beneath the 20552 (Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)) and 20553 (…3 or more muscles) codes, there are some restrictions. According to CPT®, you cannot report a TPI and the following codes for the same muscle(s): 20560 (Needle insertion(s) without injection(s); 1 or 2 muscle(s)) 20561 (… 3 or more muscles) You also cannot code for drug supply in the ED setting...

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