Traditional MedicareCoverageMedium impact
Epidural Steroid Injections for Pain Management
Medicare/CMS - LCD·Pain Management, Orthopedics, Neurology +2 more·Local Coverage Determination
Effective date
Apr 9, 2026
We identified it
Jun 17, 2026
Summary
This is a new Local Coverage Determination for epidural steroid injections for pain management under Medicare, effective April 9, 2026. The policy establishes coverage criteria and billing requirements for these procedures performed by Medicare providers in the First Coast Service Options jurisdiction.
Action Required
By April 9, 2026: Billing team must review the full LCD L33906 policy text to identify specific coverage criteria, documentation requirements, and any prior authorization needs for epidural steroid injection procedures. Update billing protocols and provider documentation templates to ensure compliance with new Medicare coverage requirements.