Is there a Modifier needed for CPT Code 20552, 20553 when performed

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Is there a Modifier needed for CPT Code 20552, 20553 when performed when he did the trigger point injection on the patient’s right shoulder?

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Is there a Modifier needed for CPT Code 20552, 20553 when performed

These are your Trigger Point Injection Codes and it DOES NOT need a modifier because it is not unilateral. You report these codes based on the number of muscles as follows:

20552 Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)

20553 Injection(s); single or multiple trigger point(s), 3 or more muscles

Many are still so confused on how to bill for Trigger Points.

Pain Management Coding and Billing Tips for Trigger Point Injections:

1. There is NO anatomical modifier; these 2 codes are is not unilateral
2. Choose based on number of muscles (not number of injections!)
3. You can append modifier 59 if it meets the guideline and necessity
4. Possible Imaging Used (may be any of the following):
76942 Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation
77002 Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)
77021 Magnetic resonance guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation

Read more related article on this blog here:

https://www.mspinkymaniri.com/2015/07/how-to-bill-cpt-20553-20552-bilateral-unilateral-trigger-points-injection/

https://www.mspinkymaniri.com/2017/03/billing-tips-how-to-bill-trigger-points-cpt-20552-20553/

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