Traditional MedicareCoverageHigh impact
Percutaneous Image-Guided Lumbar Decompression for Lumbar Spinal Stenosis
Medicare/CMS - NCD·Orthopedics, Neurosurgery, Pain Management +1 more·National Coverage Determination
Effective date
Apr 30, 2026
We identified it
Jun 17, 2026
Summary
Medicare has issued National Coverage Determination 150.13 for Percutaneous Image-Guided Lumbar Decompression procedures for Lumbar Spinal Stenosis. This establishes specific coverage criteria for this minimally invasive spinal procedure under Medicare.
Action Required
By April 30, 2026: Billing team must review and implement Medicare's coverage criteria for percutaneous image-guided lumbar decompression procedures. Update prior authorization workflows to verify patient meets Medicare's specific coverage requirements for lumbar spinal stenosis treatment. Providers must ensure documentation supports medical necessity per NCD 150.13 guidelines. Claims not meeting coverage criteria will be denied.