DWD 81.06(4)(f)2.a.a. Maximum treatment frequency is up to 3 visits for instruction and monitoring. DWD 81.06(5)(a)(a) Injection modalities are necessary as set forth in pars. (b) to (d). A health care provider’s use of injections may extend past the 12-week limit on passive treatment modalities so long as the maximum treatment for injections is not exceeded. DWD 81.06(5)(b)(b) For purposes of this subsection, “therapeutic injections” include injections of trigger points, facet joints, facet nerves, sacroiliac joints, sympathetic nerves, epidurals, nerve roots, and peripheral nerves. Therapeutic injections may only be given in conjunction with active treatment modalities directed to the same anatomical site. DWD 81.06(5)(b)1.1. All of the following guidelines apply to trigger point injections: DWD 81.06(5)(b)1.b.b. Maximum treatment frequency is once per week to any one site if there is a positive response to the first injection at that site. If subsequent injections at that site demonstrate diminishing control of symptoms or fail to facilitate objective functional gains, then trigger point injections shall be redirected to other areas or discontinued. No more than 3 injections to different sites per patient visit may be given. DWD 81.06(5)(b)2.2. All of the following guidelines apply to sacroiliac joint injections: DWD 81.06(5)(b)2.b.b. Maximum treatment frequency may permit repeat injection 2 weeks after the previous injection if there is a positive response to the first injection. Only 2 injections per patient visit. DWD 81.06(5)(b)3.3. All of the following guidelines apply to facet joint or nerve injections: DWD 81.06(5)(b)3.b.b. Maximum treatment frequency is once every 2 weeks to any one site if there is a positive response to the first injection. If subsequent injections demonstrate diminishing control of symptoms or fail to facilitate objective functional gains, then injections shall be discontinued. Only 3 injections to different sites per patient visit. DWD 81.06(5)(b)4.b.b. Maximum treatment frequency may permit repeat injection 2 weeks after the previous injection if there is a positive response to the first injection. Only 3 injections to different sites per patient visit. DWD 81.06(5)(b)4.c.c. Maximum treatment is 2 injections to any one site. Maximum treatment is 2 injections to any one site. DWD 81.06(5)(b)5.b.b. Maximum treatment frequency is once every 2 weeks if there is a positive response to the first injection. If subsequent injections demonstrate diminishing control of symptoms or fail to facilitate objective functional gains, then injections should be discontinued. Only one injection per patient visit. DWD 81.06(5)(c)(c) For purposes of this paragraph, “lytic or sclerosing injections” include radio frequency denervation of the facet joints. These injections may only be given in conjunction with active treatment modalities directed to the same anatomical site. All of the following guidelines apply to lytic or sclerosing injections: DWD 81.06(5)(c)2.2. Maximum treatment frequency may repeat 4 times per year or once every 3 months for any site.