Melissa Posted Mon 30th of March, 2015 17:22:27 PM
hello, our physician dictated the following: patient has irritation of the soft tissues over the left rib area due to scoliosis; I have injected the painful rib area, a 25 gauge needle was placed along the rib itself and 40 mg of Depo-Medrol was injected. I am not sure what injection code to use. Any assistance would be apprecated
SuperCoder Answered Tue 31st of March, 2015 00:49:54 AM
Physician dictation is not complete, please ask your physician to elaborate and specify the injected site, whether it was a tendon, tendon sheath, muscle or fascia.
You can use any code from the below mentioned codes as per the injection site.
20550 - Injection(s); single tendon sheath, or ligament, aponeurosis.
20551 - Injection(s); single tendon origin/insertion.
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 muscle(s).
For Depomedrol 40 mg use HCPCS code J1030.