Traditional MedicareCoverageMedium impact
Facet Joint Interventions for Pain Management
Medicare/CMS - LCD·Pain Management, PM&R (Physical Medicine & Rehab), Anesthesiology +2 more·Local Coverage Determination
Effective date
May 28, 2026
We identified it
Jun 17, 2026
Summary
This is a new Local Coverage Determination (LCD) for facet joint interventions used in pain management, issued by WPS Insurance Corporation as a Medicare Administrative Contractor. The policy establishes coverage criteria and billing guidelines for facet joint procedures under Medicare Part A and Part B, effective May 28, 2026.
Action Required
Before May 28, 2026: Billing team must review the full LCD L38841 policy text to identify specific coverage criteria, documentation requirements, and affected CPT codes for facet joint interventions. Update billing procedures and provider documentation templates to ensure compliance with new Medicare coverage requirements for facet joint pain management procedures.