Count bilateral facet RFA as one session during 12-month period

Why This Topic Matters

Facet procedure frequency rules affect claim payment, utilization review, and documentation requirements for practices that perform spinal pain interventions. Understanding the scope of a session and the related Medicare framework helps reduce avoidable denials and supports compliant billing workflows.

Article Sections

1. Question

   Introduces a practice-level question about how Medicare frequency limits apply to facet joint denervation over a rolling 12-month period.

2. Answer

   Summarizes the Medicare-related interpretation discussed in the article and points readers to the associated billing and coding material in the LCD documentation set.

3. Frequency limits and session definition

   Describes the general limit on reimbursable radiofrequency sessions per covered spinal region and explains the article’s discussion of how a session is defined within the LCD framework.

4. Documentation and repeat procedure considerations

   Highlights the broad documentation expectations mentioned for a repeat procedure and the type of functional improvement referenced in the article.