Traditional MedicareCoverageMedium impact
Thermal Destruction of the Intraosseous Basivertebral Nerve (BVN) for Vertebrogenic Lower Back Pain
Medicare/CMS - LCD·Orthopedics, Neurosurgery, Pain Management +1 more·Local Coverage Determination
Effective date
Jul 15, 2026
We identified it
Jun 17, 2026
Summary
New Local Coverage Determination establishes coverage criteria for thermal destruction of the intraosseous basivertebral nerve (BVN) procedure for vertebrogenic lower back pain. This policy will become effective July 15, 2026 and provides Medicare coverage guidelines for this specialized spine intervention.
Action Required
Before July 15, 2026: Billing team and providers must review new LCD L40302 coverage criteria for BVN thermal destruction procedures. Update clinical documentation requirements and billing processes to ensure compliance with Medicare coverage guidelines. Verify patient eligibility criteria are met before performing procedures to avoid claim denials.