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Anesthesia Services for Interventional Pain Management ...

Page 1 of 22 Medical Coverage Policy: 0551 Medical Coverage Policy Effective Date .. 2/15/2021 Next Review Date .. 2/15/2022 Coverage Policy Number .. 0551 Anesthesia Services for Interventional pain Management Procedures in an Adult Table of Contents Overview .. 1 Coverage Policy .. 2 General Background .. 3 Medicare Coverage Determinations .. 5 Coding/Billing Information .. 5 References .. 21 Related Coverage Resources INSTRUCTIONS FOR USE The following Coverage Policy applies to health benefit plans administered by Cigna Companies. Certain Cigna Companies and/or lines of business only provide utilization review Services to clients and do not make coverage determinations.

epidural steroid injection • epidural blood patch • facet joint injection • peripheral and/or spinal nerve root block • sacroiliac and other joint injection (e.g., knee, shoulder, hip) • radiofrequency ablation • implantation of spinal cord stimulator • implantation of a intrathecal infusion device

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  Services, Management, Pain, Anesthesia, Interventional, Epidural, Anesthesia services for interventional pain management

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