CMM-202: Trigger Point Injections

Trigger point injections using a local anesthetic with or without steroid are medically necessary when a myofascial trigger point is identified on exam (referred pain, tenderness, muscle shortening, or autonomic signs); injections with other substances (e.g., saline/glucose), acupuncture/dry‑needling/acupoint/biopuncture, image‑guided injection over spinal hardware, same‑day other treatments, intervals <2 months, use as an isolated modality, or more than four sessions per body region per year are not covered. Repeat injections require documentation of ≥50% pain relief with functional improvement for ≥6 weeks, adequate self‑management instruction, documentation of the injected substance and timing (≥2‑month intervals), and compliance with the one‑invasive‑modality‑per‑day limit.

"A myofascial trigger point has been identified by the presence of ONE or MORE of the following on physical examination: Autonomic phenomena (e."