February 26, 2024

Provide Comments Today About Facet Joint Interventions for Pain Management LCD

Centers for Medicare and Medicaid Services Medicare Administrative Contractors (MACs) seek comments about the proposed local coverage determination (LCD) for Facet Joint Interventions for Pain Management. Physicians and subject matter experts (SMEs) have an opportunity to help improve the clinical indications section and related ICD-10-CM diagnosis codes. This LCD is under to seek clarification regarding non-coverage of third-level injection, use of anesthesia in conjunction with facet injections and radiofrequency ablations (RFA), and a request for expansion of therapeutic joint injection as a first-line option.

MACs allow 45 days for the medical community to provide oral and/or written comments through open meetings and the public comment period. Interested parties (those that would be affected by the LCD, including providers, physicians, vendors, manufacturers, beneficiaries, caregivers, etc.) can make informational presentations and submit written comments related to the proposed LCD. All comments will be considered by the MAC before the LCD is finalized.

The 新澳门六合彩官网® (新澳门六合彩官网®) urges members who perform this procedure to engage in the public comment period. Following is the list of MACs, deadlines, contacts and other information:

Medicare Administrative Contractor

Draft LCD

Comment Period Ends

Open Meeting

Draft Coding Article

Contact

CGS Administrators

03/09/2024

02/13/2024

cmd.inquiry@cgsadmin.com

First Coast Service Options

03/30/2024

02/29/2024

1 pm ET

ProposedLCDComments@fcso.com

National Government Services

03/23/2024

02/29/2024

1 pm ET

NGSDraftLCDComments@anthem.com

Noridian Healthcare Solutions, LLC

J-E

J-F

03/03/2024

02/15/2024

J-E

J-F

policydraft@noridian.com

Novitas Solutions, Inc.

03/30/2024

03/01/2024

10am ET

ProposedLCDComments@novitas-solutions.com

Palmetto GBA

02/17/2024

02/12/2024

A.Policy@PalmettoGBA.com

WPS Insurance Corporation

03/23/2024

02/22/2024

6 pm ET

policycomments@wpsic.com

 
If you have questions or would like more information about local coverage policies and activities, contact Alicia Blakey, 新澳门六合彩官网 Principal Economic Policy Analyst.