3 commercial payer policies list M54.5. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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3 policies from 3 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of M54.5 |
|---|---|---|
| Prolotherapy and Sclerotherapy | Apr 11, 2023 | Covered |
| Policy | Effective | Status of M54.5 |
|---|---|---|
| Trigger Point Injections | Jul 1, 2026 | Covered |
| Policy | Effective | Status of M54.5 |
|---|---|---|
| Massage TherapyEffective 06/04/2018 - 02/14/2019 | Jun 4, 2018 | Covered |