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Neuroablative Techniques for Chronic Pain - Medicare Advantage (Revised)
Effective date
Aug 6, 2026
Identified
Aug 4, 2026
Replaced. This version was replaced by Neuroablative Techniques for Chronic Pain - Medicare Advantage (Revised) (effective Nov 1, 2026).
Summary
This is a comprehensive Medicare Advantage policy on neuroablative techniques for chronic pain management, effective 08/06/2026. The policy defines covered denervation procedures (radiofrequency ablation, cryoablation, facet denervation, basivertebral nerve ablation, and others) and references MAC-specific LCDs and NCDs that vary by geographic jurisdiction. Billing teams must verify applicable MAC requirements for their region before processing claims for these procedures.
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What to do
Action · 6 steps
01By 08/06/2026: Billing team must verify the applicable Medicare Administrative Contractor (MAC) for your practice's geographic region in the policy's MAC jurisdiction table.
02For each neuroablative procedure billed (radiofrequency ablation, cryoablation, facet denervation, basivertebral nerve ablation, etc.), retrieve the corresponding LCD and LCA documents from your MAC using the document ID numbers listed in the policy.
03Update billing system to enforce prior authorization requirements and coding rules specified in each MAC's LCD.
04Ensure providers document medical necessity per MAC guidelines.
05Contact your MAC directly for specific CPT/HCPCS codes and billing instructions, as codes are not specified in this policy document.
06Claims submitted without adherence to MAC-specific requirements will be denied.
Original notice
Neuroablative Techniques for Chronic Pain - Medicare Advantage (Revised)
mcp.humana.com · Always check the source before changing claims.
Related changes
See all Humana changes →Neuroablative Techniques for Chronic Pain - Medicare Advantage (Revised)MediumEffective Nov 1, 2026 · Medicare AdvantageNeuroablative Techniques for Chronic Pain - Medicare Advantage (Revised)MediumEffective Oct 25, 2026 · Medicare AdvantageNeuroablative Techniques for Chronic Pain - Medicare Advantage (Revised)HighEffective Aug 6, 2026 · Medicare AdvantageNeuroablative Techniques for Chronic Pain - Medicare Advantage (Revised)HighNo effective date · Medicare AdvantageBrowse every Humana change in the policy list
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