Prior Auth Required

28529 - details.aspx?LCDId= &ContrId=301&ver=96&ContrVer=1&CntrctrSelected=301*1&Cnt

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicedetails.aspx?LCDId= &ContrId=301&ver=96&ContrVer=1&CntrctrSelected=301*1&Cnt
Procedure / Service Description

35. National Government Services, Inc. Local Coverage Determination (LCD): Pain - Management (L28529), effective 12/16/14, https://www.cms.gov/medicare-coverage- database/details/lcd- details.aspx?LCDId=28529&ContrId=301&ver=96&ContrVer=1&CntrctrSelected=301*1&Cnt rctr=301&name=National+Government+Services%2c+Inc.+(National+Government+Services %2c+Inc.+(13282%2c+A+and+B+and+HHH+MA

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.