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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.

injections, radiofrequency ablation, and implantation of a spinal cord stimulator or implantation of an intrathecal infusion device. Anesthesia produces pain control, relief of anxiety, and muscle relaxation during surgical procedures. Interventional pain procedures are frequently performed with local anesthesia and do not require supplemental

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