Medicare Trigger Point Injection Updates Effective September 6, 2026

Medicare is updating the coverage and billing requirements for Trigger Point Injections (TPI) billed under CPT 20552 and 20553, effective September 6, 2026, in New Jersey and Texas. These changes are important for providers  to help prevent claim denials and ensure compliance with the updated Medicare requirements. Key Changes 1. Limited Diagnosis Codes The updated policy identifies the following… Continue Reading

Telehealth Billing Updates by Payer: Audio-Only, Audio-Video, Modifiers, and POS Guidance

Telehealth billing continues to vary by payer, especially for audio-only services, modifier use, and place of service rules. To reduce claim denials and make documentation easier for providers, Claimpower has updated templates to match each payer’s current telehealth policy. Aetna Aetna’s telemedicine policy applies to both Commercial and Medicare Advantage plans. Under the policy, audio-only… Continue Reading