Traditional MedicareCoverageHigh impact
Epidural Steroid Injections for Pain Management
Medicare/CMS - LCD·Pain Management, Orthopedics, Neurology +2 more·Local Coverage Determination
Effective date
May 7, 2026
We identified it
Jun 17, 2026
Summary
This is a new Local Coverage Determination for epidural steroid injections for pain management from National Government Services (Medicare MAC). The policy establishes coverage criteria and billing guidelines for these procedures, effective May 7, 2026.
Action Required
By May 7, 2026: Billing team must review the full LCD L39036 policy text to identify specific coverage criteria, documentation requirements, and affected CPT codes for epidural steroid injections. Update billing system rules and provider documentation templates to ensure compliance with new Medicare coverage requirements. Claims not meeting LCD criteria will be denied.