Pain Management: Prevent Denials of Interlaminar Injections by Pinning the Levels

Why This Topic Matters

Interventional pain claims can be denied when services are reported as if they were level-based or bilateral when payer rules treat them as regional procedures. Understanding the coding and coverage distinctions helps support cleaner claims and more accurate diagnosis reporting.

Article Sections

1. Bilateral reporting and interlaminar epidural injections

   Discusses claim reporting considerations for interlaminar epidural injection services in the same spinal region and the related Medicare fee schedule context.

2. Keep track of levels, not injections

   Explains the article’s emphasis on distinguishing regional procedures from level-based reporting and on matching terminology used by payers and providers.

3. Remember fluoro is now included

   Summarizes guidance about image guidance being bundled with certain interlaminar epidural injection services under Medicare policy.

4. Assign the correct diagnosis

   Reviews diagnosis coding considerations and the need to align reported conditions with documentation and payer medical necessity requirements.