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Effective January 1, 2015, Medical Policy #11.15.23 will be updated
to version "c" and retitled as Epidural, Paravertebral Facet, and Sacroiliac
Joint Injections for Spinal Pain Management. The updated policy will be
expanded in scope to include policy statements that address multiple spinal
injection techniques that are routinely used in the diagnosis and treatment of
spinal pain, such as:
- paravertebral facet joint injection
- transforaminal epidural injection
- caudal epidural injection
In addition to an expansion in scope, the revised Epidural, Paravertebral
Facet, and Sacroiliac Joint Injections for Spinal Pain Management policy will
include policy statements that address a number of varying injection techniques
and the frequency of therapy considered to be medically necessary and eligible
for reimbursement consideration. The updated policy also addresses anesthesia
in conjunction with these services.
Stay up to date on policy activity by visiting our Medical Policy Portal and selecting
Accept and Go to Medical Policy Online. You can also view policy
activity using the NaviNet® web portal by selecting Reference
Tools from the Plan Transactions menu, then Medical Policy.
Note: These medical policy updates apply to commercial business only.
Please see the separate Medicare Advantage policy portfolio for the
corresponding policies.
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NaviNet, Inc., an independent company.
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