Appendix E - National Coverage Determinations Manual / OUTPATIENT_HOSPITAL_PAIN_REHABILITATION_PROGRAMS

Article Overview

This article covers Medicare national coverage guidance for outpatient hospital pain rehabilitation programs. It explains the general conditions under which these programs may be covered, notes that services may be delivered in group settings under individualized treatment plans, and identifies categories of services that remain outside coverage. It is relevant to hospitals, outpatient program administrators, and medical coders working with Medicare coverage policy and medical necessity considerations.