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Procedures Codes for Interventional Pain Management
Inclusion of a code in this table does not imply reimbursement. Eligibility, benefits, limitations, exclusions, precertification/referral requirements, provider contracts, and Company policies apply.
The codes listed below are updated on a regular basis, in accordance with nationally accepted coding guidelines. Therefore, this policy applies to any and all future applicable coding changes, revisions, or updates.
In order to ensure optimal reimbursement, all health care services, devices, and pharmaceuticals should be reported using the billing codes and modifiers that most accurately represent the services rendered, unless otherwise directed by the Company.
The Coding Table lists any CPT, ICD-9, ICD-10, and HCPCS billing codes related only to the specific policy in which they appear.
Musculoskeletal Services: Interventional Pain Management Procedure Codes that require precertification/preapproval through AIM Specialty Health® (AIM)
Sacroiliac Injection (SI JOINT Injection)
Cervical or thoracic epidural steroid injection
Lumbar or sacral epidural steroid injection
Cervical or thoracic facet injection
Lumbar or sacral facet injection
Cervical radiofrequency ablation
Lumbar radiofrequency ablation
Implantation of Spinal Cord Stimulators
Regional Sympathetic Nerve Blocks
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