In March 2021, National Government Services along with MACs across all Medicare jurisdictions released final LCDs on Facet Joint Interventions for Pain Management, along with accompanying billing and coding articles that offer additional detailed guidance.
The adoption of this revised LCD reflects a coordinated action across the MAC jurisdictions, with policies largely aligned across all contractors, based on input from subject matter experts across the country. The LCD addresses the medical necessity and reasonableness of facet joint interventions, with additional requirements and frequency limitations specified for the following types of interventions:
This LCD will take effect on 4/25/2021.
To review this LCD and the associated Billing and Coding Guideline, before the effective date of 4/25/2021, visit the Medical Policy section of our website, under View LCDs in Notice or click on the links below after 4/25/2021.
LCD |
LCD Number |
Billing and Coding Number |
Related CPT/HCPCS Codes |
---|---|---|---|
Facet
Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency
Neurotomy Related terms: Radiofrequency, Neurotomy, pain, cervical, lumbar, thoracic |
L35936 |
A57826 |
64490, 64491, 64492, 64493, 64494, 64495, 64633, 64634, 64635, 64636, 64625
|
Posted 4/1/2021