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    Health Service Code 95.94A

    Injection with local anesthetic of myofascial trigger points combined with a spray and stretch technique

    NOTE:
    1. A minimum of 30 minutes of stretching per call is required at the time of the injection.
    2. A maximum of 8 calls may be claimed per physician per day.
    Category:M Minor Procedure
    Base rate:$66.56

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    CALLNBRSER1For Each Call Pay Base At100%
    CALLNBRSER2 - 2For Each Call Pay Base At75%
    TRAYMINTIncrease By$13.11
    NBTRNBTRYes
    LVPLVP75YesReduce Base To75%

    Governing Rules: