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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.

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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