Pauline Posted Mon 08th of December, 2014 15:13:57 PM
I'M NOT SURE HOW THIS INJECTION SHOULD BE CODED:
"The are over the left lumbrosacral paraspinal region and over the multitidus muscles as well as the left sacroiliac joint region was preped and drappoed in a sterile fashion with ChloraPrep solution. The patients trigger points were previously identified by pressure alloydinia and carefull marked. First I proceded with trigger point injections using a total of 10cc of .25% preservative free bupivacaine and 20 mg triamcinolone in divided doses. Ultrasound images were obtained an documented.
I then proceded to the superior pole of the sacroilliac joint which was iddentified by ultrasound. Using both in plane and out of plane projection, a 22 gauge spinal needle was directed into the intraarticular segment of the left superior sacroilliac joint, 20 mg triamcinolone diluted was slowley infused into the area after ultrasound examination and careful avoidance of any neurovascular structures. Needles were then removed and band-aids were applied to the skin puncture sites.
Would this be a 20553 with 76942?
SuperCoder Answered Tue 09th of December, 2014 03:59:16 AM
For lumbar para spinal trigger point injection, you should use code 20552-20553 depending upon the number of muscles on which trigger point injection were performed.In addition, you should use code 76942, Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation.
For intraarticular SI joint injection, you should bill 27096, Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed.