Medica policies
Search Medica's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.
3 policies name 20999, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Percutaneous Ultrasonic Ablation of Soft Tissue | Effective Dec 1, 2025 · Commercial, Medicaid | 2 | Original policy ↗ |
| Prolotherapy | Effective Aug 1, 2026 · Commercial, Medicaid | 2 | Original policy ↗ |
| Trigger Point Dry Needling | Effective Sep 1, 2026 · Commercial, Medicaid | 3 | Original policy ↗ |