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Documentation must include: Medical necessity (e.g., failed conservative therapy, functional limitation) Muscles treated Medications used (e.g., lidocaine, bupivacaine, corticosteroids) Response to prior treatment , if applicable Coding Tips Do not report CPT 20552 in conjunction with dry needling (CPT 20560 or 20561) unless both are distinct and separately identifiable procedures
It also helps mitigate issues like scarring and muscle loss
I have had that pain on but a handful of occasions in the over six hundred B12 monthly injections given since 1972
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