CMM-204: Prolotherapy

Prolotherapy (CPT M0076) for musculoskeletal pain or instability is considered experimental, investigational, or unproven and is excluded from coverage. Evidence is inconclusive, the treatment may cause serious side effects, reimbursement is determined by the individual’s health plan (atypical cases require physician review/consultation) and no specific documentation or prerequisites are specified.

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

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