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723.8 states CERVICAL SYNDROME NEC so many coders will use this code for cervical facet syndrome. 724.8 since the location in the ICD9 it reflects lower back so some coders use this for Lumber facet syndrome, but many LCDs tell us to use 724.8 for ALL facet syndrome Levels.
No, the trigger point codes are based on the number of muscles injected. Each code gives a descriptor of how many muscles are allowable to be billed. CPT code 20552 is for an injection, single or multiple trigger points, 1 or 2 muscles, and the CPT code 20553- single or multiple trigger points, 3 or more muscles. So, this simple means that if you injected 3 or more muscles, you can only bill CPT 20553 as 1 unit for the procedure.