CPT 20552 · Trigger Point · Medicare (NGS MAC)
Trigger Point Injection — 1 or 2 muscles at Medicare (NGS MAC).
How Medicare (NGS MAC) approaches CPT 20552 (Trigger Point Injection — 1 or 2 muscles) for prior-authorization review: at last review on 2026-05-02, the policy covers this code without prior authorization.
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Coverage
Covered
Prior auth
No prior auth
Last reviewed
2026-05-02
Criteria summary
High-level themes from the Medicare (NGS MAC) 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.
See the full Medicare (NGS MAC) criteria.
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