Industry veteran Margie Scalley Vaught is discussing the intricacies of injection coding and documentation requirement in this informative audio conference. Don’t miss out!

1. Injections - Trigger, Tendon, Intra-articular
Demystify the Differences between the Injection Codes That Are
Most Commonly Used
Presenter - Margie Scalley
Vaught
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2. Disclaimer
• The purpose of these handouts is to accompany the presentation
conducted by Margie Scalley Vaught, and sponsored by AudioEducator.
It is only a supplemental workbook and is not a substitute for the CPT-4
or the ICD-9-CM coding manuals. There is no guarantee that the use of
this publication will prevent differences of opinion with providers or
carriers in reimbursement disputes. Margie S Vaught, or any third-party
sponsor provide nor implied or expressed warranty regarding the content
of this publication or seminar due to constant changing regulations, laws
and policies. It is further noted that any and all liability arising from the
use of materials or information in this publication and/or presented at a
seminar is the sole responsibility of the participant, and their respective
employers, who by his or her purchase of this publication and/or
attendance at a seminar evidences agreement to hold harmless the
aforementioned parties, their employees and affiliates. The intent of
this publication is to be used as a teaching “tool” accompanying the oral
presentation only.
• 2014 Edition
• ©All rights reserved. No part of this publication may be reproduced in
any form or by any means without the express written permission of the
publisher. Seminars and their material are protected by copyright.
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3. 3
INJECTIONS – Taking the Pain out of Coding

4. Issues to Cover
• Recognize the differences between the
injection codes that are most commonly used
• Develop documentation guides for specific
payers regarding ICD-9 and CPT linkage issues
• Getting your providers to correctly document
the actual injection and medication being
injected correctly
• Check with payers/carriers regarding LCDs for
trigger point injections, intra-articular
injections and other injections, etc
• Understand issues related to performing these
injections under imaging guidance
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5. Injections
• Trigger Points
• Tendon origin/insertion
• Ganglion
• Intra-articular joint – bursa
• Morton’s Neuroma
• SI joint injections
• IM, Subcutaneous Injections
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6. 20550 and 20551
• Codes 20550 and 20551 are their own ‘family’ of codes
CPT rules and guidelines/policies regarding these codes
apply only to these codes not ALL injection codes unless
otherwise specified.
• 20550 Injection(s); single tendon sheath, or ligament,
aponeurosis (eg, plantar “fascia”).
• 20551 Injection(s); single tendon origin/insertion
• Codes 20550 and 20551 should be reported one time
for multiple or single injections to a tendon sheath,
ligament, tendon origin or tendon insertion performed.
Thus, multiple injections to the same tendon sheaths,
tendon origins, tendon insertion, or ligaments would be
reported one time only.
• However injections to different tendon sheaths, origins,
insertions or ligaments or fascia CAN be reported for
each different site.
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7. To see the complete presentation check
the below link:
http://www.audioeducator.com/orthopedics/selecting-the-right-
codes-for-injection-09-24-2014.html