tci Outpatient Facility Coding Alert - 2014 Issue 7

Reader Question: Count the Number of Muscles and Not Injections

Question: The physician administered trigger point injections to fingers 2-5 on both the patient’s hands. He coded the procedure as 20605 x 8. Is it the right way to code? Massachusetts Subscriber Answer: The CPT® code 20605 (Arthrocentesis, aspiration and/or injection; intermediate joint or bursa [e.g., temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa]) represents intermediate joint aspiration/injection and you stated that the physician performed trigger point injections (TPI). The correct choices for TPI would be:  20552 — Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) 20553 — Injection(s); single or multiple trigger point(s), 3...

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