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Sheila Posted Tue 22nd of March, 2011 23:17:48 PM

Pt with multiple diagnosis had 8 seperate muscles injected. 20553 is for 3 or more muscles but do I then do the number of units eg 20553 x 8 ? or 20550 x 8 ?



SuperCoder Answered Wed 23rd of March, 2011 04:38:42 AM

As the descriptor for 20553 specifies “three or more muscles” you must report any number of muscle groups over three with a single unit of 20553.

All multiple injections in one of these body regions count as one unit of the injection. For example, if the physician administers three injections to muscles in the cervical spinal region, you should bill only one unit of 20552. If the physician administers two injections in the left shoulder, one injection in the cervical spine, and two injections in the thoracic spine, however, you may report 20553 because three muscle groups were targeted.

If the physician targets more than three muscle groups, only a single unit of 20553 is appropriate. You may not, for instance, report one unit of 20552 to describe one muscle site and one unit of 20553 to code the other three muscle sites.

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