Wiki Billinginjection

[DBARON]

I am having a hard time billing a trigger point injection on a medicare patient.
What are the correct modifiers that should be used?

 

[mhstrauss]

I am having a hard time billing a trigger point injection on a medicare patient.
What are the correct modifiers that should be used?

If a trigger point is the only thing billed, you shouldn't need any modifiers. Was anything else billed for the day? Does the dx support medical necessity? What exactly is the denial?

 

[MARY K]

Are you sure the denial is for modifier? if so and a separate E/M is dictated and billable then modifier 25 is warranted. In our area Medicare only allows one diagnosis code and that is 729.1 muscle disorder. hope this helps