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Local Coverage Determination for Peripheral …

Local Coverage Determination (LCD) for Peripheral Nerve Blocks (L29258). Contractor Information Contractor Name Contractor Number Contractor Type First Coast Service Options, 09102 MAC - Part B. Inc. Back to Top LCD Information Document Information LCD ID Number L29258 Primary Geographic Jurisdiction Florida LCD Title Peripheral Nerve Blocks Oversight Region Region IV. Contractor's Determination Number 64400. Original Determination Effective Date AMA CPT/ADA CDT Copyright Statement For services performed on or after 02/02/2009. CPT codes, descriptions and other data only are copyright 2011 American Medical Original Determination Ending Date Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Clauses Apply. Current Dental Revision Effective Date Terminology, (CDT) (including procedure For services performed on or after 10/01/2009.)

6. When the trigeminal nerve is blocked centrally at the trigeminal ganglion, along one of the three divisions or at one of the many peripheral terminal branches (i.e., …

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