January 23, 2020
We had a denial for a knee injection and a trigger point injection in the neck. Our coding software said these 2 codes are bundled and we don’t know why. Can these 2 codes ever be billed together?
Trigger point injections (20552, one or two muscles and 20553, three or more muscles) are bundled with joint injection (20600-20611) when performed at the same anatomical site, for example a trigger point in the shoulder with a shoulder joint injection. If the joint injection and trigger point are at different anatomical sites, as in your example, the knee and the neck, both may be reported. The lower valued code, in this case the trigger point injection is reported with a modifier; a 59 for distinct procedural service or XS, for separate structure.
*This response is based on the best information available as of 01/23/20.