This page addresses follow-up questions and additional information pertinent to our webinar
Coding Pain Injection Procedures: Block the Pain.
** The coding information and guidance are valid at the time of publishing. Learners are encouraged to research
subsequent official guidance in the areas associated with the topic as they can change rapidly.

Q: Most Local Coverage Determinations (LCDs) state that the primary indication for a facet joint injection is for diagnostic purposes, such as facet syndrome. Is there a way for coders to indicate that the procedure was indeed diagnostic?
A: Yes, Medicare has created modifier ‘KX” for this purpose. Append the KX modifier to the claim line for all diagnostic injections.

Q: How is a dry needle trigger point treatment reported? Is this the same as trigger point injections?
A: A dry needle trigger point procedure and a trigger point injection are similar, but not the same. Trigger point injection procedures will include an injection of a medication into the trigger point.

In a dry needle trigger point procedure, needle(s) are inserted in, or near, the trigger point but there is no injection. The intent is to stimulate the muscle and ultimately lead to muscle relaxation. CPT codes 20560 and 20561 are the codes specific to dry needle trigger point procedures.

Q: In procedure notes for radiofrequency ablation of the sacroiliac joint the procedure note will often mention ablation of the L5 dorsal ramus, S1, S2, and S3 nerves. Code 64625 describes the ablation of nerves innervating the sacroiliac joint. Does this code include all these nerves or is it reported per nerve?
A: Per CPT Assistant, code 64625 includes all the nerves that innervate the sacroiliac joint specifically, which would include nerves from L4 to S2. 64625 would be reported once per side for the entire sacroiliac joint.

Looking for additional information on this topic?

Emily Lomaquahu, CPC, CPMA, CEDC

Senior Coding Quality Auditor & Educator

Emily is a Senior Coding Quality Auditor for Haugen Consulting Group and brings over a decade of experience to the profee team! She began her career as an auditor and with her keen eye for detail, she quickly found it was a perfect fit. Emily thrives in a collaborative environment and enjoys creating high-quality trainings to help providers and coders navigate charts and improve their accuracy. She earned a bachelor’s degree from the University of Colorado, in Denver. Emily specializes in Evaluation and Management (E/M), Primary Care, Anesthesia, Emergency Department, and Neurology, though she says Anesthesia and Neurology are her favorites! She is a Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), and Certified Emergency Department Coder (CEDC).

19 Comments

Debbie Hayward on November 11, 2025 at 3:24 pm

I am unable to access the CEU. Are you able to email the CEU to me? I watched the webinar on 11-9-25. Thank you
Reply
- Kate Hutchison on November 12, 2025 at 8:54 am
  
  Hi Debbie, Our FAQ page is a great place for frequently asked questions and our team is also always happy to help. https://www.thehaugengroup.com/about/faqs/
  
  The CEUs are to the left of the video underneath the Handouts Icon. All participants are able to download/print their own CEU certificates.
  Reply
Oyesola Oke on August 1, 2025 at 2:19 pm

Hi,
I watched webinar and completed the survey but there is no link to the questions and answers to obtain my ceu.
Reply
- Kate Hutchison on August 4, 2025 at 8:16 am
  
  Hi Oyesola, Our FAQ page is a great place for frequently asked questions and our team is also always happy to help. https://www.thehaugengroup.com/about/faqs/
  
  The CEUs are to the left of the video underneath the Handouts Icon. All participants are able to download/print their own CEU certificates.
  Reply
Dana Cook-Pearson on April 17, 2025 at 9:44 am

I completed the survey and did not have the option to get the CEU
Reply
- kkluglein on April 18, 2025 at 8:07 am
  
  Hi Dana, Our FAQ page is a great place for frequently asked questions and our team is also always happy to help. https://www.thehaugengroup.com/about/faqs/
  
  The CEUs are to the left of the video underneath the Handouts Icon. All participants are able to download/print their own CEU certificates.
  Reply
  - Daveresa S Jennings on July 24, 2025 at 6:29 pm
    
    I previously registered and watched the webinar on 6/16/2025 and did not see the CEUs. How do I get a link the webinar without registering again? I did not see prompt to download my certificate. I also did not receive an email from Haugen Academy Administrator with a link to my certificate.
    Reply
    - kkluglein on July 25, 2025 at 8:12 am
      
      The CEUs are to the left of the video underneath the Handouts Icon. You can access the webinar using the button above the comment section of this post.
      Reply
Rhonda on March 21, 2025 at 5:48 am

Hello – how can I obtain the slide deck and CEUs from this presentation. I attended 3/20/25.

Thank you.
Reply
- kkluglein on March 28, 2025 at 9:20 am
  
  Hi Rhonda,
  Our FAQ page is a great place for frequently asked questions and our team is also always happy to help. https://www.thehaugengroup.com/about/faqs/
  
  The CEUs are to the left of the video underneath the Handouts Icon. All participants are able to download/print their own CEU certificates.
  Reply
Jill Olson on March 11, 2025 at 9:05 am

where can I find my CEU for the webinar?
Reply
- kkluglein on March 11, 2025 at 11:27 am
  
  Hi Jill, Our FAQ page is a great place for frequently asked questions and our team is also always happy to help. https://www.thehaugengroup.com/about/faqs/
  
  The CEUs are to the left of the video underneath the Handouts Icon. All participants are able to download/print their own CEU certificates.
  Reply
Martha Given on February 7, 2025 at 2:43 pm

Hello Emily How do I get my CE Certificate, I passed the test.
Loved the Presentation.
Thank you
Reply
- kkluglein on February 10, 2025 at 2:56 pm
  
  Hi Martha, So glad to hear you enjoyed the presentation! Our FAQ page is a great place for frequently asked questions and our team is also always happy to help. https://www.thehaugengroup.com/about/faqs/
  
  The CEUs are to the left of the video underneath the Handouts Icon. All participants are able to download/print their own CEU certificates.
  Reply
- Katie on February 11, 2025 at 2:53 pm
  
  Emily,
  I filled out the survey for the Coding Pain Injection, but I did not receive the CEU
  Reply
  - kkluglein on February 11, 2025 at 3:40 pm
    
    Hi Katie, Our FAQ page is a great place for frequently asked questions and our team is also always happy to help. https://www.thehaugengroup.com/about/faqs/
    
    The CEUs are to the left of the video underneath the Handouts Icon. All participants are able to download/print their own CEU certificates.
    Reply
Marcy Garuccio on January 24, 2025 at 9:51 am

Emily’s presentation was very well done. Very informational and loved that she used examples to code. I enjoyed this lecture, thanks Emily!
Reply
Judy Riddell on January 23, 2025 at 12:21 pm

Can I get a copy of the slide deck for this presentation?
Reply
- kkluglein on January 27, 2025 at 8:47 am
  
  Hi Judy, The slide deck, test for AAPC members, and CEU are located to the left hand side of the webinar video under the handouts icon.
  Reply