Anthem Blue Cross Connecticut SURG.00125 Radiofrequency and Pulsed Radiofrequency Treatment of Trigger Point Pain Form

Effective Date

06/28/2023

Last Reviewed

05/11/2023

Original Document

  Reference



This document addresses the treatment of trigger point pain (also known as myofascial pain syndrome) with radiofrequency (RF) or pulsed radiofrequency (PRF). RF and PRF are procedures that apply high-frequency, alternating current to tissues via a probe inserted through the skin. This document does not address RF and PRF of non-myofascial tissue (for example, nerves and joints) or transcutaneous RF treatment techniques.

Note: Please see the following related document(s) for additional information:

  • SURG.00096 Surgical and Ablative Treatments for Chronic Headaches
  • CG-SURG-17 Trigger Point Injections

Position Statement

Investigational and Not Medically Necessary:

Radiofrequency (RF) and pulsed radiofrequency (PRF) treatment of trigger points are considered investigational and not medically necessary.