Help,
This is the procedure:
Right elbow extensor tendon ultrasound guided corticosteroid injection.
Consent: Written consent was given after the risks, benefits, and alternatives of the procedure were explained and patient agreed to proceed with the injection. Indication for ultrasound guidance procedure includes avoidance of further ulnar nerve damage, obesity.
Description of Procedure: Right elbow extensor tendon injection: With the arm pronated, the proximal forearm close to the lateral epicondyle was prepped in standard sterile fashion and appropriate sterile cover and gel were used for ultrasound procedure. Using a Sonosite M-Turbo 15-6MHz linear array probe scanned both in long and short axis and injected in short axis visualizing elbow extensor tendon clearly. Procedure note: Written consent was given after the risks and benefits of the procedure were explained and pt agreed to proceed with the injection. The pt remained seated for the procedure with the left fully relaxed. After standard sterile preparation with Chloraprep. The extensor forearm was then injected utilizing the "peppering" technique with redirection of the needle several times with 1cc of 1%lidocaine without epinephrine and 40mg kenalog (NDC # 0003-0293-05) with intermittent negative withdrawal of heme. The needle was withdrawn. The pt tolerated the procedure well and there were no complications. There was immediate relief of symptoms. A sterile bandage was applied. Pt was given instructions to avoid more than 5 lbs lifting or pulling with right hand for 2 weeks. may ice today only..

Should this be billed as trigger point? My doctor is wanting it to be billed as 24357. Any guidance would really be appreciated.
Thanks in advance.