CPT 20552 · Trigger Point · Medicare (Noridian JF MAC)
Trigger Point Injection — 1 or 2 muscles at Medicare (Noridian JF MAC).
How Medicare (Noridian JF 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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Criteria summary
High-level themes from the Medicare (Noridian JF 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.
Source: Medicare (Noridian JF MAC) LCD / Local Coverage Article
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