When multiple injections are performed on the same tendon sheaths, ligaments, or tendon origins/insertions, how should they be reported?

In the context of coding for injections, if multiple injections are performed on the same tendon sheaths, ligaments, or tendon origins/insertions, they are typically reported one time only. This coding approach is based on the understanding that when injections are administered to the same site, they are considered to be part of a singular therapeutic intervention rather than separate procedures.

This means that the intent and effect of the injection are concentrated in one specific area, and as such, coding reflects the overall treatment rather than each individual injection. This helps to avoid duplicating codes that represent the same clinical service provided to the patient.

In contrast, if injections were directed at separate anatomical locations or distinct structures, they might warrant separate coding. However, in cases where the injections are for the same anatomical site, the guideline dictates they should be reported as a single service, reflecting accurate billing and compliance with coding standards.