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?
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Wiki Paine Management Medicare denials for trigger point injections
- Thread starter comunale
- Start date
mitchellde
True Blue
why are you billing 96372 and 96374 for trigger point injections?
missyah20
Guru
Also, you may be hitting medical necessity for your trigger point (20553). Many Medicare carriers have an LCD regarding Trigger Point Injections.