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Retrieved November 16, 2017

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Identify underlying conditions Use symptom codes appropriately Capture pain severity and type Ensure complete diagnosis documentation Appropriate documentation of injections administered The route of administration for each injection and the final needle placement Clear indication of fluoroscopy-guided or other image-guided techniques Supporting diagnosis that justifies the procedure performed The exact medication administered, including dosage and type For trigger point injections, the laterality and specific muscles treated, as coding depends on the number of muscles injected Understand modifier use in pain management Follow sequencing guidelines Report the latest ICD-10 codes When pain is linked to a specific diagnosis, code the underlying condition first, followed by the pain code if applicable