Billing and Coding: Trigger Point Injections

Medicare Coverage Database article A57751

Article

Contractor: Novitas Solutions, Inc.
States (A/B MAC): AR, CO, DC, DE, LA, MD, MS, NJ, NM, OK, PA, TX
Effective: Sep 6, 2026
Contractor numbers: 04111, 04112, 04211, 04212, 04311, 04312, 04411, 04412, 04911, 07101, 07102, 07201, 07202, 07301, 07302, 12101, 12102, 12201, 12202, 12301, 12302, 12401, 12402, 12501, 12502, 12901
Official article: A57751 on cms.gov (version 28)

Read the article's coding instructions on CMS — which codes go together, documentation, and frequency limits — before billing. CodeRx lists the codes, not the instructions.

Drug codes in this article

HCPCS Level II drug codes the article lists (other codes it lists are not shown).

Covered ICD-10-CM codes (2)

Diagnosis codes the article lists as supporting medical necessity, grouped as in the article, with CMS's descriptions.

M79.12Myalgia of auxiliary muscles, head and neck
M79.18Myalgia, other site

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