Make sure TPIs scheduled before April 1 will meet new LCD policy

Why This Topic Matters

Coverage policy changes can affect whether scheduled services remain payable, especially when treatment spans the transition to a new LCD. This topic is relevant for practices that bill trigger point injection services and need to align scheduling, documentation, and coverage review with Medicare requirements.

Article Sections

1. Question

   Introduces the coverage timing question raised by a practice about a Medicare local coverage determination for trigger point injections.

2. Question

   Restates the scheduling scenario and asks whether visits before and after the policy effective date are treated under the new coverage period.

3. Answer

   Provides the article’s general response regarding the policy’s applicability to services before the effective date and the treatment of a scheduled visit under the LCD.

4. Resource

   Lists the referenced coverage resource and source information for the Medicare local coverage determination.