DecisionHealth, DecisionHealth - 2026 Issue 5 (May)

Policies & LCDs: Two MACs float tougher trigger point injection rules

Providers who bill trigger point injections (CPT codes 20552 and 20553) to First Coast Service Options or Novitas Solutions Inc. could see a tightened local coverage policy later this year. If the Medicare administrative contractors (MACs) finalize the new policy as proposed, it will cover only two diagnosis codes.

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