Traditional MedicareCoverageMedium impact
Facet Joint Interventions for Pain Management
Medicare/CMS - LCD·Pain Management, Orthopedics, PM&R (Physical Medicine & Rehab) +2 more·Local Coverage Determination
Effective date
Jun 4, 2026
We identified it
Jun 17, 2026
Summary
This is a Local Coverage Determination for facet joint interventions used in pain management, managed by CGS Administrators for Medicare Part A and Part B. The policy establishes coverage criteria and guidelines for facet joint procedures effective June 4, 2026.
Action Required
By June 4, 2026: Review the full LCD L38773 policy text to identify specific coverage criteria, documentation requirements, and any prior authorization needs for facet joint interventions. Update billing procedures and provider documentation requirements accordingly. Ensure compliance with CGS Administrators' guidelines for Medicare Part A and Part B claims involving facet joint pain management procedures.