SURG.00125 Radiofrequency and Pulsed Radiofrequency Treatment of Trigger Point Pain

This policy addresses radiofrequency (RF) and pulsed radiofrequency (PRF) procedures for treating myofascial trigger point pain. Anthem considers RF and PRF for trigger points investigational and not medically necessary; they are not covered under any circumstances, with noncoverage applying to all techniques, guidance methods, and anatomic sites (associated codes may include 00125 and 20999).

"Radiofrequency (RF) and pulsed radiofrequency (PRF) treatment of trigger points are consideredinvestigational andnot medically necessary."

Sign up to see full coverage criteria, indications, and limitations.