Crystal's MCW Coder HubTags: procedures pain-management
Common Codes
- 20552: Trigger point injection (1 or 2 muscles).
- 20553: Trigger point injection (3 or more muscles).
- 64450: Peripheral nerve block (e.g., Occipital).
- 64483+: Spinal injections (Epidurals/Transforaminal).
Drug Coding
- Most payers bundle the drug (Lidocaine/Marcaine) into the procedure.
- Steroids (e.g., Depo-Medrol) are often billed separately with HCPCS Level II (e.g., J1030, J3301).
- Use Modifier JW for wasted drug amount.
Imaging Guidance
- Fluoroscopy or Ultrasound guidance often requires separate codes (e.g., 76942 for US).
- Must save permanent images to support billing guidance.