2025 CPT code 20552
(Active) Effective Date: N/A Revision Date: N/A Surgical Procedures on the Musculoskeletal System - Musculoskeletal System Surgery Feed
Injection(s) of single or multiple trigger point(s) into one or two muscles.
Modifiers may be applicable. For example, modifier 50 is used for bilateral procedures (injections into the same muscle on both sides of the body), Modifier 25 if a significant, separately identifiable E/M service is provided on the same day, Modifier 59 for a distinct procedural service.
Medical necessity should be supported by documentation of the patient's pain, functional limitations, and failed conservative treatments (if any).
The physician palpates the muscle to locate the trigger point, assesses for referred pain and a twitch response, and then injects the medication.
In simple words: A trigger point injection involves injecting medicine into painful knots in your muscles to ease the pain. This code is used when the doctor injects one or two muscles, regardless of the number of shots.
This code refers to the injection of an anesthetic or corticosteroid into trigger points within one or two muscles to relieve pain.It includes single or multiple injections within those muscles.
Example 1: A patient presents with pain in the trapezius muscle. The physician gives three injections in different locations within the trapezius.Code 20552 is used., A patient experiences pain in both the right and left deltoid muscles. The physician injects each deltoid once. Code 20552 is reported., A patient has pain in the left trapezius and levator scapulae muscles. The physician performs multiple injections in each muscle.Code 20552 is appropriate.
Documentation should include the location of the trigger points, the muscles injected, the medication used, and the patient's response to the injection.
- Revenue Code: P6B
- Payment Status: Active
- Specialties:Pain Management, Physical Medicine and Rehabilitation, Orthopedics
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center