Ask Dr. Z

Would this IT band trigger point injection be coded 20552 or 20550 plus 77002? I don’t know if the IT band is a trigger point or a ligament?

"Fluoroscopy was used to guide a 25 gauge spinal needle to the appropriate location in the area of the IT band. Isovue 200 was injected to confirm positioning along the IT band and injection of 50% of the mixture of 40 Kenalog and 5cc of Bupivacaine was made in this band area. A second injection was made more at the inferior area of the band. Following two locations, the patient reported 100% relief of his pain in the leg and needles were removed. Findings: Right IT band inflammation responsive to trigger point injections. Impression: Successful injection of right IT band into locations."