DecisionHealth, DecisionHealth - 2023 Issue 4 (April)
Common coding challenges: Pinpoint the requirements for trigger point injections, watch for updates from your MAC
Take your staff through the guidelines for trigger point injections (20552-20553) during your next compliance session. This pain treatment procedure has a 13% denial rate according to the latest Medicare Part B claims data, received a 98% denial rate during a medical review and is frequently controlled by strict local coverage determinations and private payer policies. These factors can combine to make receiving proper reimbursement for trigger point injections into a painful undertaking.
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