Joint & soft tissue0-day global

Trigger point injections

Injection of myofascial trigger points. One code covers one or two muscles, a second covers three or more — bill one or the other, not both. Fluoroscopic guidance is rarely used but separately billable.

2026 national Medicare payment (typical billing): $59.79 in-office · $40.75 facility · 0.73 work RVUs

Price this procedure

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Locality

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Show values as

Line	Qty	Non-facility (office)	Facility (hospital/ASC)
20553Njx 1/mlt trigger points 3/>	1	$59.79	$40.75
20552Njx 1/mlt trigger point 1/2	0	$51.77/ unit	$35.74/ unit
add-on77002Needle localization by xray	0	$121.25/ unit	$121.25/ unit
Whole procedure		$59.79	$40.75

Conversion factor: Locality: national average GPCIs

Codes in this procedure

20553 Njx 1/mlt trigger points 3/> — Active, 0-day global, 0.73 wRVU
20552 Njx 1/mlt trigger point 1/2 — Active, 0-day global, 0.64 wRVU
77002 Needle localization by xray — Active, add-on code, 0.53 wRVU

Typical code combination for this procedure; actual billing depends on documentation and payer policy. Source: pfs.data.cms.gov "Indicators for 2026", retrieved 2026-07-16; conversion factors $33.4009 / $33.5675 (QP) per CMS-1832-F. Estimates — not billing or coding advice.