Prior Auth Required

35338 - details.aspx?LCDId= &ContrId=301&ver=5&ContrVer=1&CntrctrSelected=301*1&Cntr

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicedetails.aspx?LCDId= &ContrId=301&ver=5&ContrVer=1&CntrctrSelected=301*1&Cntr
Procedure / Service Description

37. National Government Services, Inc. Local Coverage Determination (LCD): Lumbar Epidural - Injections (L35338), effective 12/16/14, https://www.cms.gov/medicare-coverage- database/details/lcd- details.aspx?LCDId=35338&ContrId=301&ver=5&ContrVer=1&CntrctrSelected=301*1&Cntr ctr=301&name=National+Government+Services%2c+Inc.+(National+Government+Services %2c+Inc.+(13282%2c+A+and+B+and+HHH+MAC%2c+J+-

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.