Billing and Coding: Injection of Trigger Points

Coverage for injection of trigger points is dependent on meeting the reasonable and necessary criteria of LCD L33912. Detailed documentation is required in the medical record (legible pages with patient identification, provider signature, support for ICD-10 and CPT/HCPCS coding, number and site of injections) and medical necessity must be shown for repeated or frequent injections; non-covered services must be billed with the appropriate modifier.

"Injection of trigger points is covered only when services meet the reasonable and necessary requirements of Local Coverage Determination L33912."

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