tci Part B Insider - 2004 Issue 25

INJECTIONS: 3 Tips Add Almost $50 to Your Trigger Point Pay

If you're in doubt whether to reap payments for office visits or extra muscle-injections with your trigger point injection (TPI) encounters, then doubt no further. You can ethically maximize TPI-related reimbursement if you code based on three expert-approved guidelines:1. Charge E/M With Unscheduled TPI Service. You should submit an E/M code, such as 99201-99215, when a patient presents for an unscheduled TPI as long as the visit meets all the requirements of an E/M code. To charge $36 or more for the separate office visit (the approximate fee for CPT 99201 ), the E/M must meet the criteria for...

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