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Learn how to properly code trigger point injection CPT codes. Ensure accurate billing with comprehensive documentation for trigger point injection codes.
Trigger finger (727.03) Ganglion of tendon sheath (727.42) Contracture of joint, hand/fingers (718.44) Loc prim osteoarthritis, hand (715.14) Pain in joint, hand (719.44) CPT Codes Injection, tendon sheath, ligament, trigger points or ganglion cyst (20550) Aspiration or injection ganglion cyst (20612)
The submitted CPT/HCPCS code must describe the service performed. The medical record must clearly indicate the number of injections given per session and the site(s) injected. Furthermore, the medical record must clearly document the medical necessity for repeated injections of trigger point(s).
No more than 3 Trigger point injection sessions in a rolling 12 months will be considered reasonable and necessary, regardless of the code billed. CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately.
When billing for non-covered services, use the appropriate modifier. This policy applies only to trigger point injections and does not apply to dry needling or acupuncture. Modifier 50- bilateral should not be reported with CPT codes 20552 or 20553.
Answer: CPT code 20550 defines an injection to a single tendon sheath, or ligament, aponeurosis (eg, plantar “fascia”). CPT code 20551 defines an injection to single tendon at the origin/insertion site. Trigger finger injections are most commonly given to the flexor tendon, supporting CPT code 20550.
ICD-9 code: 727.03 “trigger finger” (acquired) ICD-10 code: M65.3 “trigger finger“ nodular tendinous disease. CPT code: 20550 “ Injection (s); single tendon sheath, or ligament, aponeurosis”. Materials Needed.
control injections performed today are known as trigger point injections, trigger point therapy, or pressure point therapy. In order to clarify and assist in accurate coding of these injections, codes 20552 and 20553 were revised for CPT 2003.
Trigger Finger (trigger thumb when involving the thumb) is the inhibition of smooth tendon gliding due to mechanical impingement at the level of the A1 pulley that causes progressive pain, clicking, catching, and locking of the digit.
But when the patient's symptoms don't improve, surgeons may choose to perform a trigger finger release. The problem: Some coders review trigger finger release documentation and overlook the appropriate code, 26055 (Tendon sheath incision [e.g., for trigger finger]).