Trigger Point Injections

We are consistently denied payment by Medicare for Trigger Point injections and J1094. We bill it with an office visit using modifier 25. The office visit gets paid by Medicare but the injection & med used is denied. For the trigger point injection, we use the medically necessary diagnosis codes put out by Medicare. Can anyone help with this?

re: Trigger Point Injections

Sorry it's a packaged service into svcs such as a visit. CPT® 20552,3 is paid if that's something you do.