Coverage of Conditions and Treatments (Coverage Decisions)

Use this lookup tool to determine coverage decisions, or if prior authorization is needed for the treatment or condition. Note: For Self-insured employer claims, you must contact the employer or their claims administrator.

List also available in PDF format.

Archived Coverage Decisions.

See Treatment Guidelines and Resources for additional information.

Reviewed and updated 08/22/2022

Dry needling of trigger points is a covered benefit with conditions. Dry needling is considered a variant of trigger point injections. It is a technique where needles are inserted directly into trigger point locations without medications injected. Dry needling follows the same rules as trigger point injections in WAC 296-20-03001(7)(d).

Dry needling of trigger points, trigger point injections, or the combination of the two procedures are limited to three treatments per patient. The attending doctor must submit justification for additional treatments if indicated, with a maximum of six total treatments to be authorized for any one patient