CMM-204: Prolotherapy

Prolotherapy (CPT M0076) for musculoskeletal pain and/or instability is designated experimental, investigational, or unproven and is not covered. The guideline cites inconclusive evidence and potential serious adverse effects, lists no covered indications or required documentation, and states atypical or unclear cases will require physician review/consultation.

"Prolotherapy performed for the treatment of musculoskeletal pain and/or instability (e."

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