CPT 20552 · Peripheral Joint/Tendon · California Medicaid (Medi-Cal)
Trigger Point Injection — 1 or 2 muscles at California Medicaid (Medi-Cal).
How California Medicaid (Medi-Cal) approaches CPT 20552 (Trigger Point Injection — 1 or 2 muscles) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.
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Criteria summary
High-level themes from the California Medicaid (Medi-Cal) policy of record for CPT 20552. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 4 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: California Medicaid (Medi-Cal) Coverage for Joint Injections
See the full California Medicaid (Medi-Cal) criteria.
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