DecisionHealth, DecisionHealth - 2022 Issue 1 (January)

New coding guidance: Local coverage determinations limit anesthesia, moderate sedation for interventional pain treatments

Warn staff to expect denials for anesthesia services performed with common interventional pain blocks. The new uniform local coverage determinations (LCD) for epidural steroid injections (ESI) and facet joint blocks and radiofrequency ablations lock out any types of sedation beyond minimal sedation in all but the rarest of instances.

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