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Medicare/CMS - LCDTraditional Medicare · Coverage · Local Coverage Determination · Pain Management, Orthopedics, Neurosurgery +1 moreMedium impact

Facet Joint Interventions for Pain Management

Effective date
Dec 6, 2026
Identified
Oct 23, 2026

Summary

First Coast Service Options (MAC Part A and Part B) is updating Local Coverage Determination L33930 for Facet Joint Interventions for Pain Management, effective 12/6/2026. The policy notice period ends 12/5/2026. The full policy text was last updated 10/16/2026 but specific coverage changes, affected codes, or billing impacts are not detailed in the source provided.

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What to do

Action · 3 steps
01By 12/5/2026: Billing team should review the complete policy text at https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33930&ver=54 to identify specific coverage criteria, billing codes, prior authorization requirements, and documentation standards for facet joint interventions.
02Confirm whether the practice's current billing workflows, coding practices, and prior authorization processes align with the updated LCD before the 12/6/2026 effective date.
03Update internal policies and staff training as needed based on the specific requirements stated in the full LCD.

Original notice

Facet Joint Interventions for Pain Management
cms.gov · Always check the source before changing claims.
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