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NGS updates covered diagnosis codes for trigger points

National Government Services has made it a bit easier to report trigger points injections. A February update to its pain management LCD adds 17 codes to the list of diagnosis codes that support medical necessity.
 
According to the revision history for LCD L33622, the new codes were added in response to a provider's request. Previously, NGS listed M60.9 (Myositis, unspecified) and M79.1 (Myalgia) as supporting medical necessity. The additional codes are listed below. Good news if you received a denial when you reported a trigger point with one of these codes - the change is retroactive to Oct. 1, 2015.
 
M60.811 Other myositis, right shoulder
M60.812 Other myositis, left shoulder
M60.821 Other myositis, right upper arm
M60.822 Other myositis, left upper arm
M60.831 Other myositis, right forearm
M60.832 Other myositis, left forearm
M60.841 Other myositis, right hand
M60.842 Other myositis, left hand
M60.851 Other myositis, right thigh
M60.852 Other myositis, left thigh
M60.861 Other myositis, right lower leg
M60.862 Other myositis, left lower leg
M60.871 Other myositis, right ankle and foot
M60.872 Other myositis, left ankle and foot
M60.88 Other myositis, other site
M60.89 Other myositis, multiple sites
M79.7 Fibromyalgia
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