Payer PolicyActive
Ultrasound Guidance for Trigger Point Injections - (0139)
CIGNA-0139
Cigna
Effective: July 15, 2025
Updated: December 6, 2025
created · Dec 2, 2025
Policy Summary
Ultrasound guidance (CPT 76942) for trigger point injections is explicitly not covered or reimbursable and claims using 76942 or lacking covered codes for these injections will be denied. Providers must submit the most appropriate, currently effective CPT and diagnosis codes (deleted/not-yet-effective codes ineligible), and reviewers should consult the applicable benefit plan and current Medicare LCDs and apply medical director judgment.
Coverage Criteria Preview
Key requirements from the full policy
"None — Ultrasound guidance (CPT 76942) for trigger point injections is not covered or reimbursable."
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