Traditional MedicareCoverageHigh impact
Epidural Steroid Injections for Pain Management
Medicare/CMS - LCD·Pain Management, Orthopedics, Neurology +2 more·Local Coverage Determination
Effective date
Apr 16, 2026
We identified it
Jun 17, 2026
Summary
This is a Local Coverage Determination (LCD) for epidural steroid injections used in pain management, issued by Noridian Healthcare Solutions as the Medicare Administrative Contractor. The policy provides coverage guidelines for when these injections are considered medically necessary and covered under Medicare.
Action Required
By April 16, 2026: Billing team must review and implement new coverage guidelines for epidural steroid injections under Medicare. Update billing software and encounter forms to ensure compliance with LCD L39240 requirements. Train providers on new medical necessity criteria to prevent claim denials. Verify all epidural steroid injection claims meet the updated coverage determination before submission.