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 |