Transcription of Local Coverage Determination for Paravertebral …
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Local Coverage Determination for Paravertebral …
Local Coverage Determination (LCD) for ParavertebralFacet Joint Blocks (L29252)Contractor InformationContractor NameFirst Coast Service Options, Number09102 Contractor TypeMAC - Part BBack to TopLCD InformationDocument InformationLCD ID NumberL29252 LCD TitleParavertebral Facet Joint BlocksContractor's Determination Number64490 AMA CPT/ADA CDT Copyright StatementCPT codes, descriptions and other data onlyare copyright 2011 American MedicalAssociation (or such other date of publicationof CPT). All Rights Reserved. ApplicableFARS/DFARS Clauses Apply. Current DentalTerminology, (CDT) (including procedurecodes, nomenclature, descriptors and otherdata contained therein) is copyright by theAmerican Dental Association. 2002, 2004 American Dental Association. All rightsreserved. Applicable FARS/DFARS Geographic JurisdictionFloridaOversight RegionRegion IVOriginal Determination Effective DateFor services performed on or after 02/02/2009 Original Determination Ending DateRevision Effective DateFor services performed on or after 10/04/2011 Revision Ending DateCMS National Coverage PolicyN/A Indications and Limitations of Coverage and/or Medical NecessityMedicare will consider facet joint blocks to be reasonable and necessary for chronic pain(persistent pain for three (3) months or greater) suspected to originate from the facet joint block is one of the methods used to document/co
The CMS manual System, Pub.100-08, Program Integrity Manual, Chapter 13, Section 5.1, outlines that “reasonable and necessary” services are …
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