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Paine Management Medicare denials for trigger point injections

comunale

Contributor
Messages
12
Best answers
0
Does anyone know why Medicare will deny payment for professional fees related to a toradol injection or trigger point injections? We have a pain clinic with a contracted pain group within a hospital and Medicare will not pay for 96372, 20553 or 96374 even though there is a fee listed for our situation on the CMS code fee schedule. Is there something else we need to be doing?
 

missyah20

Guru
Messages
215
Location
Minneapolis
Best answers
0
Also, you may be hitting medical necessity for your trigger point (20553). Many Medicare carriers have an LCD regarding Trigger Point Injections.
 
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