The ACR® Contractor Advisory Committee (CAC) Network continues to track development of a local coverage determination (LCD) for this topic since the May 28 multi-jurisdictional CAC Meeting, to seek advice from subject matter experts to gauge the strength of published evidence on facet joint and medial nerve branch procedures. As a result of this meeting, five out of seven Medicare Administrative Contractors (MACs) have issued proposed LCDs for this topic and formally invite the medical community to submit comments. This topic is significant for Interventional radiologist and pain management communities. We encourage written comments be submitted by the respective deadline outlined below. In addition to written comments, you may also formally present clinical evidence during the public meeting. If presenting, registration and disclosure forms are required. Physicians should plan to comment on the coverage indications and associated billing and coding guidance.
Proposed LCDs on Facet Joint Interventions for Pain Management
|MAC||Comment Period||Open Public Meeting||Proposed LCD|
|CGS Administrators, LLC||10/8-11/22/2020||10/13/2020||DL38773|
|National Government Services Inc.||9/24-11/7/2020||10/15/2020||DL35936|
|Noridian Healthcare Solutions, LLC||9/24-11/7/2020||10/21/2020||JE - DL38801
JF - DL38803
|Wisconsin Physicians Service Insurance Corporation||10/1-12/12/2020||J5 – 10/15/2020
J8 – 10/19/2020
For questions on proposed LCDs or CAC activities please contact Alicia Blakey.