How do you code procedures 20610 and 20552 together with the appropriate modifier to prevent bundling?
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Need confirmation coding for TPI 20552 vs 20553.. Please!!
Hello everyone,
Here is a coding example that I need help with;
Location: back and shoulder
Back location injected: Bilateral lumbar
Shoulder injected: R periscapular
I’d code this as 20552, however the doctor wants it coded as 20553. I only see the back and the shoulder being injected, but he is going off bilateral when bilateral coding is not considered (modifier 50 not allowed). Would someone PLEASE clear up my confusion with TPI with the example above.
Thank you in advance,
20552 vs 20553
I am sure that I am overthinking this and making it harder on myself. Our physician states in her note "Left and Right SI joint injection administered to lumbar". I realize that 20552 states 1 or 2 muscles and 20553 states 3 or more muscles. Since the physician stated Left & Right injection I coded this case using 20552-RT, 20552-RT-59. It was denied by carrier. Of course my only other selection left is 20553. I just want to make sure that I am understanding the usage of these two codes as I am thinking lumbar has two separate locations (Left & Right). Thank you in advance for any help with this matter.