DecisionHealth, DecisionHealth - 2024 Issue 4 (April)

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

Question: Our Medicare administrative contractor (MAC) has adopted the new local coverage determination (LCD) for trigger point injections (20552-20553). The LCD limits the number of trigger point injections a patient may receive to three sessions per rolling 12-month period. Will the April 24 visit count as the third injection under the LCD?

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