On October 1st 2018, it appears CMS plans to delete M79.1 Mylagia which also has a current inclusion note of myofascial pain syndrome which is a common code for trigger point injections, they plan to replace it with M79.10, M79.11, M79.12, M79.18 Check back for updated information on this code.
CMS Proposes New Add-On Code That Will Finally Pay Interventional Pain Specialists For The Complexity Of The Care They Provide
As part of the proposed 2019 CMS changes in how Medicare will pay for Evaluation & Management (E/M) Codes, CMS has created a new code that may be “added-on” to each E/M code billed by any of ten specified medical specialties. The “add-on” code is GCG0X and its CPT descriptor is “Visit complexity inherent to E/M associated with endocrinology, rheumatology, …