February 26, 2024

Provide Comments Today About Facet Joint Interventions for Pain Management LCD

Centers for Medicare and Medicaid Services Medicare Administrative Contractors (MACs) seek comments about the proposed local coverage determination (LCD) for Facet Joint Interventions for Pain Management. Physicians and subject matter experts (SMEs) have an opportunity to help improve the clinical indications section and related ICD-10-CM diagnosis codes. This LCD is under reconsideration to seek clarification regarding non-coverage of third-level injection, use of anesthesia in conjunction with facet injections and radiofrequency ablations (RFA), and a request for expansion of therapeutic joint injection as a first-line option.

MACs allow 45 days for the medical community to provide oral and/or written comments through open meetings and the public comment period. Interested parties (those that would be affected by the LCD, including providers, physicians, vendors, manufacturers, beneficiaries, caregivers, etc.) can make informational presentations and submit written comments related to the proposed LCD. All comments will be considered by the MAC before the LCD is finalized.

The American College of Radiology® (ACR®) urges members who perform this procedure to engage in the public comment period. Following is the list of MACs, deadlines, contacts and other information:

Medicare Administrative Contractor

Draft LCD

Comment Period Ends

Open Meeting

Draft Coding Article

Contact

CGS Administrators

DL38773

03/09/2024

02/13/2024

cmd.inquiry@cgsadmin.com

First Coast Service Options

DL33930

03/30/2024

02/29/2024

1 pm ET

Register Here

DA57787

ProposedLCDComments@fcso.com

National Government Services

DL35936

03/23/2024

02/29/2024

1 pm ET

Register Here

DA57826

NGSDraftLCDComments@anthem.com

Noridian Healthcare Solutions, LLC

J-E

DL38801

J-F

DL38803

03/03/2024

02/15/2024

J-E

DA58403

J-F

DA58405

policydraft@noridian.com

Novitas Solutions, Inc.

DL34892

03/30/2024

03/01/2024

10am ET

Register Here

DA56670

ProposedLCDComments@novitas-solutions.com

Palmetto GBA

DL38765

02/17/2024

02/12/2024

DA58350

A.Policy@PalmettoGBA.com

WPS Insurance Corporation

DL38841

03/23/2024

02/22/2024

6 pm ET

Join Here

A58477

policycomments@wpsic.com

 
If you have questions or would like more information about local coverage policies and activities, contact Alicia Blakey, ACR Principal Economic Policy Analyst.