Oct. 8, 2025

CMS recently released Proposed Local Coverage Determinations (LCDs) that address Peripheral Nerve Blocks and Procedures for Chronic Pain. These draft LCDs, issued by five out of seven Medicare Administrative Contractors (MACs), could significantly affect coverage for peripheral nerve ablation procedures, many of which now are deemed not medically necessary under the proposals.

ACR® members are encouraged to review the proposed LCDs and related billing/coding articles and submit evidence-based comments challenging the coverage decisions. Interventional radiologists should act quickly; comment deadlines begin Nov. 8. Submissions may be made individually or jointly.

For more information about LCD activities or questions, contact Alicia Blakey, ACR Principal Economic Policy Analyst.

Related ACR News

  • Government Shutdown May Soon End

    The U.S. Senate passed a bipartisan bill 60–40 to fund the government through Jan. 30; House vote expected soon.

    Read more
  • Communities Crushing Cancer: United for Health Equity

    RHEC’s Communities Crushing Cancer unites 67 residency programs to boost cancer screening, awareness, and health equity nationwide.

    Read more
  • Physician-Owned Hospitals

    ACR backs H.R. 4002 to repeal Stark law limits, enabling growth of physician-owned hospitals for better access, choice and lower costs.

    Read more