February 2, 2016

Question:
If I am performing a joint injection with a trigger point injection in two different anatomic areas, can I get paid for both?

Answer:
Yes, you should get paid for both if in different anatomic areas.  Modifier 59 should be used (on the lower valued CPT code) with either a modifier 59 (distinct procedure) or XS (separate structure) to identify the different anatomic area or structure.  Don’t forget the J code for the medication in addition to the injection.

*This response is based on the best information available as of 02/2/16.