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Trapezius muscle injected Multiple trigger points treated within the same muscle Correct code: CPT 20552 (1 muscle) Trapezius and levator scapulae injected Multiple injections across both muscles Correct code: CPT 20552 (2 muscles) Trapezius, levator scapulae, and rhomboid muscles injected Each muscle treated separately Correct code: CPT 20553 (3 muscles) Lumbar paraspinal, gluteus medius, and quadratus lumborum muscles injected Widespread trigger points across multiple regions Correct code: CPT 20553 (3 or more muscles) Even if a muscle receives multiple injections, it still counts as one muscle only, and the CPT code must reflect the total number of distinct muscles treated

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