LCD Reference Article Response To Comments Article

Response to Comments: Trigger Point Injections

A55473

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Source Article ID
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Article ID
A55473
Original ICD-9 Article ID
Not Applicable
Article Title
Response to Comments: Trigger Point Injections
Article Type
Response to Comments
Original Effective Date
05/26/2017
Revision Effective Date
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Revision Ending Date
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Article Text
Noridian's Response to Provider Recommendations for Trigger Point Injections (for comment period ending 12/15/2016)

Response To Comments

Number Comment Response
1 Comments were received requesting the addition of ICD10 codes such as “upper arm, unspecified ” or “ lower leg, unspecified”, on the basis that the provider may not have a clear history from the referring practitioner or patient. This service involves the performance of trigger point injections, which would be to a known site. The commenters failed to support why they would not be aware of what sites they were injecting. The Contractor will not be adding the unspecified codes requested to the policy.
2 ICD-10-CM codes were requested for the injection of certain nerves. The Contractor feels the injection of nerves would be associated with different CPT codes than the codes in this policy or served by the ICD-10-CM codes that are already in the policy.
3 Requests were made to add ICD-10-CM codes for “vulvodynia” and “other complications of amputation stump” to the policy. No supporting evidence was submitted with the request for trigger point injection for vulvodynia. A quick review of the recent literature by the Contractor supports the application of topical medication, possibly, but discusses the lack of evidence of many surgical interventions. This diagnosis will not be added to the policy. The Contractor feels the current diagnoses in the policy will cover “other complications of amputation stump” adequately.
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Revision History Information

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Associated Documents

Medicare BPM Ch 15.50.2 SAD Determinations
Medicare BPM Ch 15.50.2
Related Local Coverage Documents
LCDs
L36859 - Trigger Point Injections (TPI)
Related National Coverage Documents
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SAD Process URL 2
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Public Versions
Updated On Effective Dates Status
03/23/2017 05/26/2017 - N/A Currently in Effect You are here

Keywords

  • Response
  • Comments
  • Trigger
  • Point
  • Injections