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What is the CPT code for 20550?
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. information, click here.
What is the CPT code for tendon injection?
When the origin or insertion of a tendon is injected, use CPT code 20551. 20550 is used for the injection of the tendon sheath.
What modifier should be used with 20550?
modifier -59
To make it clear that injections were done at different sites, submit 20550 for the first site injected and 20550 with modifier -59 (to show that a different site was injected) and modifier -51 (to indicate multiple procedures were performed) for subsequent injection sites.
How do you bill trigger point injections?
There are two CPT® codes for Trigger point injections:
- 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.
Does 20550 need a modifier?
1. Procedure code 20550 is not subject to bilateral surgery rules. Therefore these services should not be billed with procedure code modifier 50 (Bilateral Procedure). However, procedure code 20550 is subject to multiple surgery rules (Modifier 51).
How do I bill my 20550 to Medicare?
CPT code 20550 should be reported once per cord injected regardless of how many injections per session. For the initial evaluation and injection, the appropriate E&M code (with modifier 25) may be submitted with the injection code.
Can 20550 and 20610 be billed together?
For 20550/20551 being billed with 20610 the modifier you use will depend on the insurance. If the patient has any type of Medicare plan then use -XS. If not, -59. These modifiers communicate to insurance that the injections were performed for separate and unrelated medical conditions.
What is the difference between CPT code 20550 and 20551?
20550: Injection(s), single tendon sheath. 20551: Injection(s), single tendon origin. As with 20550, it does not matter how many times the physician administers injections; report 20551 once. Be sure to note that the injection is into the origin, where the tendon connects to the muscle.
Does Medicare pay for trigger point injections?
Medicare does not cover Prolotherapy. Its billing under the trigger point injection code is a misrepresentation of the actual service rendered. When a given site is injected, it will be considered one injection service, regardless of the number of injections administered.
Can CPT code 20550 be billed bilaterally?
Procedure code 20550 is not subject to bilateral surgery rules. Therefore these services should not be billed with procedure code modifier 50 (Bilateral Procedure).
How often can you bill 20550?
CPT code 20550 should be reported once per cord injected regardless of how many injections per session.
Does Medicare cover CPT code 20550?
General Guidelines for claims submitted to or Part A or Part B MAC: Claims for the injection of collagenase clostridium histolyticum should be submitted with CPT code 20550. CPT code 20550 should be reported once per cord injected regardless of how many injections per session.