Transcription of Local Coverage Determination for Paravertebral …
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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.
injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance
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Cervical Facet joint Medial branch block, Facet joint, Facet Nerve Block/Medial Branch Block, Facet, Facet Nerve block Medial Branch Block, As a Diagnostic and Therapeutic Toll, Back Injury Medical Treatment Guidelines Second Edition, Low Back Disorders, NIA Clinical Guidelines for Medical Necessity