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CMS RVU26D · Effective 2026-10-01

20552 in Merced

Office / nonfacility

$53.74

Base rate per service

Facility setting

$36.17

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Musculoskeletal procedures

About 20552: Trigger point injection, one or two muscles

Report 20552 for injection treatment of one or more myofascial trigger points located in one or two muscles, such as trapezius muscles.

A clinician injects medication into one or more palpable, symptomatic trigger points in one or two muscles to treat myofascial pain. Common sites include cervical or lumbar paraspinal muscles and the trapezius. The service is often performed in an office or outpatient setting by clinicians treating musculoskeletal or pain conditions. The code describes the number of muscles treated, not the number of trigger points or needle placements; dry needling without injection is a different service.

Choose 20552 when the documented injection treatment involves one or two muscles; use the three-or-more-muscle code when that threshold is met. Record the treated muscles, trigger-point findings, injection sites, and medication administered. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeon or team-surgery reporting is not permitted.

CMS billing rules for 20552

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU0.64 · 41%
  • Practice expense (office) RVU0.84 · 54%
  • Malpractice RVU0.07 · 5%

237.4K

Medicare services in 2024 · #350 by national volume

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

20552 compared with similar codes

Office rates for Merced, from the same CMS release.

20553

Trigger point injection

Three or more muscles

$62.10

Both codes describe trigger-point injection treatment. Select 20552 for one or two muscles and 20553 for three or more muscles.

20550

Tendon sheath injection

Single tendon sheath, ligament, or aponeurosis

$62.65

20550 is for injection into a tendon sheath or ligament, rather than trigger points within muscle.

20551

Tendon injection

Tendon origin or insertion

$62.84

20551 targets a tendon origin or insertion; 20552 targets trigger points in one or two muscles.

20560

Dry needling

1-2 muscles

$26.08

20560 describes needle insertion without injection in one or two muscles, unlike the injection treatment reported with 20552.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 20552 is $53.96—$0.22 higher than the $53.74 rate in Merced. Both use the same code, release and participation basis.

20552 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $53.74

  2. Bakersfield

    $53.96

    $0.22 higher than Merced

  3. Chico

    $53.74

    The same base rate than Merced

  4. El Centro

    $53.76

    $0.02 higher than Merced

  5. Fresno

    $53.74

    The same base rate than Merced

  6. Hanford-Corcoran

    $53.74

    The same base rate than Merced

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $57.00

    $3.26 higher than Merced

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 20552 ranges from $46.68 in Arkansas to $65.44 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 20552

    Office

    $53.74

    Facility

    $36.17

    The same base rate than Merced for the office setting.

  • Modesto

    California · 20552

    Office

    $53.74

    Facility

    $36.17

    The same base rate than Merced for the office setting.

  • Napa

    California · 20552

    Office

    $60.89

    Facility

    $39.76

    $7.15 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 20552

    Office

    $56.59

    Facility

    $37.64

    $2.85 higher than Merced for the office setting.

  • Redding

    California · 20552

    Office

    $53.74

    Facility

    $36.17

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 20552

    Office

    $53.74

    Facility

    $36.17

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 20552

    Office

    $54.51

    Facility

    $36.93

    $0.77 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 20552

    Office

    $56.03

    Facility

    $37.38

    $2.29 higher than Merced for the office setting.

  • Salinas

    California · 20552

    Office

    $55.81

    Facility

    $37.23

    $2.07 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 20552

    Office

    $56.84

    Facility

    $37.67

    $3.10 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 20552

    Office

    $64.04

    Facility

    $41.43

    $10.30 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 20552

    Office

    $63.96

    Facility

    $41.36

    $10.22 higher than Merced for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 20552

    Office

    $65.44

    Facility

    $42.32

    $11.70 higher than Merced for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 20552

    Office

    $65.11

    Facility

    $42.00

    $11.37 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 20552

    Office

    $54.95

    Facility

    $36.69

    $1.21 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 20552

    Office

    $57.17

    Facility

    $37.69

    $3.43 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 20552

    Office

    $55.94

    Facility

    $37.25

    $2.20 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 20552

    Office

    $57.72

    Facility

    $38.04

    $3.98 higher than Merced for the office setting.

  • Stockton

    California · 20552

    Office

    $53.74

    Facility

    $36.17

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 20552

    Office

    $60.78

    Facility

    $39.64

    $7.04 higher than Merced for the office setting.

  • Visalia

    California · 20552

    Office

    $53.74

    Facility

    $36.17

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 20552

    Office

    $53.74

    Facility

    $36.17

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 20552

    Office

    $58.18

    Facility

    $39.30

    $4.44 higher than Merced for the office setting.

  • Miami

    Florida · 20552

    Office

    $56.50

    Facility

    $39.81

    $2.76 higher than Merced for the office setting.

  • Chicago

    Illinois · 20552

    Office

    $55.09

    Facility

    $38.98

    $1.35 higher than Merced for the office setting.

  • Manhattan

    New York · 20552

    Office

    $59.05

    Facility

    $40.43

    $5.31 higher than Merced for the office setting.

  • Alaska*

    Alaska · 20552

    Office

    $63.23

    Facility

    $46.16

    $9.49 higher than Merced for the office setting.

  • Alabama

    Alabama · 20552

    Office

    $47.25

    Facility

    $33.22

    $6.49 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 20552

    Office

    $46.68

    Facility

    $32.91

    $7.06 lower than Merced for the office setting.

  • Arizona

    Arizona · 20552

    Office

    $50.56

    Facility

    $35.03

    $3.18 lower than Merced for the office setting.

  • Colorado

    Colorado · 20552

    Office

    $53.31

    Facility

    $36.25

    $0.43 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 20552

    Office

    $54.85

    Facility

    $37.58

    $1.11 higher than Merced for the office setting.

  • Delaware

    Delaware · 20552

    Office

    $51.31

    Facility

    $35.47

    $2.43 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 20552

    Office

    $54.03

    Facility

    $37.78

    $0.29 higher than Merced for the office setting.

  • Rest Of Florida

    Florida · 20552

    Office

    $51.71

    Facility

    $36.39

    $2.03 lower than Merced for the office setting.

  • Atlanta

    Georgia · 20552

    Office

    $52.75

    Facility

    $36.47

    $0.99 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 20552

    Office

    $49.19

    Facility

    $34.89

    $4.55 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 20552

    Office

    $54.63

    Facility

    $36.40

    $0.89 higher than Merced for the office setting.

  • Iowa

    Iowa · 20552

    Office

    $47.98

    Facility

    $33.31

    $5.76 lower than Merced for the office setting.

  • Idaho

    Idaho · 20552

    Office

    $48.29

    Facility

    $33.54

    $5.45 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 20552

    Office

    $51.90

    Facility

    $37.15

    $1.84 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 20552

    Office

    $50.65

    Facility

    $36.01

    $3.09 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 20552

    Office

    $54.48

    Facility

    $38.02

    $0.74 higher than Merced for the office setting.

  • Indiana

    Indiana · 20552

    Office

    $48.52

    Facility

    $33.66

    $5.22 lower than Merced for the office setting.

  • Kansas

    Kansas · 20552

    Office

    $47.92

    Facility

    $33.42

    $5.82 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 20552

    Office

    $48.46

    Facility

    $34.21

    $5.28 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 20552

    Office

    $50.43

    Facility

    $35.35

    $3.31 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 20552

    Office

    $48.45

    Facility

    $34.26

    $5.29 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 20552

    Office

    $57.83

    Facility

    $38.69

    $4.09 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 20552

    Office

    $53.13

    Facility

    $36.24

    $0.61 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 20552

    Office

    $54.72

    Facility

    $37.51

    $0.98 higher than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 20552

    Office

    $52.13

    Facility

    $35.91

    $1.61 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 20552

    Office

    $48.64

    Facility

    $33.89

    $5.10 lower than Merced for the office setting.

  • Southern Maine

    Maine · 20552

    Office

    $50.66

    Facility

    $34.77

    $3.08 lower than Merced for the office setting.

  • Detroit

    Michigan · 20552

    Office

    $52.39

    Facility

    $36.92

    $1.35 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 20552

    Office

    $49.63

    Facility

    $34.99

    $4.11 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 20552

    Office

    $50.94

    Facility

    $34.44

    $2.80 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 20552

    Office

    $50.01

    Facility

    $34.95

    $3.73 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 20552

    Office

    $50.43

    Facility

    $35.17

    $3.31 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 20552

    Office

    $47.84

    Facility

    $34.02

    $5.90 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 20552

    Office

    $47.26

    Facility

    $33.46

    $6.48 lower than Merced for the office setting.

  • Montana**

    Montana · 20552

    Office

    $51.77

    Facility

    $35.73

    $1.97 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 20552

    Office

    $49.05

    Facility

    $34.09

    $4.69 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 20552

    Office

    $50.38

    Facility

    $34.35

    $3.36 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 20552

    Office

    $48.16

    Facility

    $33.36

    $5.58 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 20552

    Office

    $52.63

    Facility

    $35.94

    $1.11 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 20552

    Office

    $57.77

    Facility

    $39.17

    $4.03 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 20552

    Office

    $55.43

    Facility

    $37.93

    $1.69 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 20552

    Office

    $49.91

    Facility

    $35.21

    $3.83 lower than Merced for the office setting.

  • Nevada**

    Nevada · 20552

    Office

    $51.41

    Facility

    $35.36

    $2.33 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 20552

    Office

    $60.45

    Facility

    $41.38

    $6.71 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 20552

    Office

    $55.89

    Facility

    $38.33

    $2.15 higher than Merced for the office setting.

  • Queens

    New York · 20552

    Office

    $59.28

    Facility

    $40.33

    $5.54 higher than Merced for the office setting.

  • Rest Of New York

    New York · 20552

    Office

    $49.67

    Facility

    $34.44

    $4.07 lower than Merced for the office setting.

  • Ohio

    Ohio · 20552

    Office

    $49.35

    Facility

    $34.71

    $4.39 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 20552

    Office

    $48.25

    Facility

    $33.93

    $5.49 lower than Merced for the office setting.

  • Portland

    Oregon · 20552

    Office

    $54.63

    Facility

    $36.82

    $0.89 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 20552

    Office

    $50.96

    Facility

    $35.00

    $2.78 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 20552

    Office

    $53.76

    Facility

    $37.07

    $0.02 higher than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 20552

    Office

    $49.34

    Facility

    $34.62

    $4.40 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 20552

    Office

    $52.04

    Facility

    $35.84

    $1.70 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 20552

    Office

    $52.85

    Facility

    $36.29

    $0.89 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 20552

    Office

    $49.29

    Facility

    $34.47

    $4.45 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 20552

    Office

    $50.22

    Facility

    $34.19

    $3.52 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 20552

    Office

    $48.14

    Facility

    $33.56

    $5.60 lower than Merced for the office setting.

  • Austin

    Texas · 20552

    Office

    $53.17

    Facility

    $36.21

    $0.57 lower than Merced for the office setting.

  • Beaumont

    Texas · 20552

    Office

    $49.08

    Facility

    $34.49

    $4.66 lower than Merced for the office setting.

  • Brazoria

    Texas · 20552

    Office

    $51.18

    Facility

    $35.29

    $2.56 lower than Merced for the office setting.

  • Dallas

    Texas · 20552

    Office

    $51.52

    Facility

    $35.55

    $2.22 lower than Merced for the office setting.

  • Fort Worth

    Texas · 20552

    Office

    $51.27

    Facility

    $35.46

    $2.47 lower than Merced for the office setting.

  • Galveston

    Texas · 20552

    Office

    $51.34

    Facility

    $35.42

    $2.40 lower than Merced for the office setting.

  • Houston

    Texas · 20552

    Office

    $52.63

    Facility

    $36.70

    $1.11 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 20552

    Office

    $50.11

    Facility

    $34.90

    $3.63 lower than Merced for the office setting.

  • Utah

    Utah · 20552

    Office

    $49.85

    Facility

    $34.78

    $3.89 lower than Merced for the office setting.

  • Virginia

    Virginia · 20552

    Office

    $50.61

    Facility

    $34.85

    $3.13 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 20552

    Office

    $52.04

    Facility

    $35.84

    $1.70 lower than Merced for the office setting.

  • Vermont

    Vermont · 20552

    Office

    $50.34

    Facility

    $34.46

    $3.40 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 20552

    Office

    $52.98

    Facility

    $36.10

    $0.76 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 20552

    Office

    $58.78

    Facility

    $39.11

    $5.04 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 20552

    Office

    $48.98

    Facility

    $33.62

    $4.76 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 20552

    Office

    $49.10

    Facility

    $35.17

    $4.64 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 20552

    Office

    $51.16

    Facility

    $35.13

    $2.58 lower than Merced for the office setting.

See how rates vary across the country

20552 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$46.68

$63.23

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$63.231
AL$47.251
AR$46.681
AZ$50.561
CA$53.74–$65.4429
CO$53.311
CT$54.851
DC$58.181
DE$51.311
FL$51.71–$56.503
GA$49.19–$52.752
GU$54.631
HI$54.631
IA$47.981
ID$48.291
IL$50.65–$55.094
IN$48.521
KS$47.921
KY$48.461
LA$48.45–$50.432
MA$53.13–$57.832
MD$52.13–$58.183
ME$48.64–$50.662
MI$49.63–$52.392
MN$50.941
MO$47.84–$50.433
MS$47.261
MT$51.771
NC$49.051
ND$50.381
NE$48.161
NH$52.631
NJ$55.43–$57.772
NM$49.911
NV$51.411
NY$49.67–$60.455
OH$49.351
OK$48.251
OR$50.96–$54.632
PA$49.34–$53.762
PR$52.041
RI$52.851
SC$49.291
SD$50.221
TN$48.141
TX$49.08–$53.178
UT$49.851
VA$50.61–$58.182
VI$52.041
VT$50.341
WA$52.98–$58.782
WI$48.981
WV$49.101
WY$51.161

Explore 20552 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 20552 in Merced, the physician’s office rate is $53.74 and the facility-setting rate is $36.17: a difference of $17.57.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 20552 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$59.11

$53.74 × 110% = $59.11

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 20552 in Merced.

PPRRVU2026_Oct_nonQPP.csv

1,761

Code
20552
Physician work
0.64
Practice expense
0.84
Malpractice
0.07

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 20552 in Merced
ComponentRVULocality factorAdjusted
Physician work0.64× 1.0170.6509
Practice expense0.84× 1.0960.9206
Malpractice0.07× 0.5360.0375
Total RVUs1.6090
Conversion factor× 33.4009

Office / nonfacility rate, Merced$53.74

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 20552 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.641.017
Practice expense0.841.096
Malpractice0.070.536

(0.64 × 1.017 + 0.84 × 1.096 + 0.07 × 0.536) × $33.4009 = $53.74

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.641.017
Practice expense0.361.096
Malpractice0.070.536

(0.64 × 1.017 + 0.36 × 1.096 + 0.07 × 0.536) × $33.4009 = $36.17

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

20552 · Office / nonfacility

$53.74

Effective 2026-10-01

The base rate is $1.13 higher than on 2025-10-01, moving from $52.61 to $53.74 (2.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $52.61changed to$53.74

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.66 changed to 0.64
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $52.61

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$53.74$36.17RVU26D
2026-07-01$53.74$36.17RVU26C
2026-04-01$53.74$36.17RVU26B
2026-01-01$53.74$36.17RVU26A
2025-10-01$52.61$35.64RVU25D
2025-07-01$52.61$35.64RVU25C
2025-04-01$52.61$35.64RVU25B
2025-01-01$52.61$35.64RVU25A

20552 billing questions

Does the number of trigger points determine whether to report 20552?

No. The distinction is based on the number of muscles injected: 20552 covers one or two muscles, regardless of the number of trigger points treated.

When should 20553 be reported instead?

Use 20553 when injection treatment involves three or more muscles. Document the muscles treated so the code selection is supported.

Can dry needling be reported as 20552?

No. 20552 describes trigger-point injection treatment; needle insertion without injection is represented by the dry-needling codes.

Should modifier 50 be added for bilateral trigger points?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Same-day preoperative and postoperative care is included in this code's 0-day global period.

What documentation supports reporting 20552?

Document the symptomatic trigger points, the one or two muscles treated, injection sites, and the medication administered.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 20552PPRRVU2026_Oct_nonQPP.csv, line 1,761 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet