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Billing Trigger Point Injection with office visit

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wstanush:
When a patient comes in for an office visit for unspecific pain and the MD determines that a trigger point injection is required for the pain.  How do you bill so the injection is considered and not bundled into the office visit? 

Theresa

DMK:
-59 indicates a separate service from the office visit.  MAKE SURE there is a musculoskeletal diagnosis that supports the trigger point injection.

wstanush:
Awesome!  That is what I thought but always good to make sure.
Thank you.

DMK:
You should bill a 99212 (99211 is no longer a valid code) and then the TP injection with the -59 indicating a separate service.   Your documentation should support the separate services. 

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