tci Part B Insider - 2006 Issue 4

ORTHOPEDIC: READER QUESTION--Pull The Trigger On Improper Trigger Finger Coding

Question: The orthopedic surgeon evaluated a patient with trigger finger and scheduled her to return in three weeks for an injection if her condition didn't improve. When she returned, the surgeon discussed her progress with her before he performed the injection? Can he report both the E/M and an injection code?Massachusetts subscriberAnswer: Under these circumstance, you only report the injection (20550, Injection[s]; single tendon sheath, or ligament, aponeurosis [e.g., plantar "fascia"]) on the date of service because the procedure was preplanned and the surgeon performed an E/M three weeks before he performed the injection. The surgeon's pre-injection...

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