Radiofrequency and Pulsed Radiofrequency Treatment of Trigger Point Pain

Anthem · PayerPolicy · ANTHEM-SURG.00125

Summary of the payer’s published policy. Not a coverage determination — confirm with Anthem before submitting.

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Codes in this policy

Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.

Codes this policy lists and each code’s status in the policy
Code	Code system	Status in this policy
00125	CPT	Not covered
20999	CPT	Not covered