Prior Auth Required

39036 - coverage-database/view/lcd.aspx?lcdid= &ver=8&bc=0

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicecoverage-database/view/lcd.aspx?lcdid= &ver=8&bc=0
Procedure / Service Description

55. National Government Services, Inc. Local Coverage Determination (LCD): Epidural Steroid - 55. National Government Services, Inc. Local Coverage Determination (LCD): Epidural Steroid Injections for Pain Management (L39036), effective 12/5/21. https://www.cms.gov/medicare- coverage-database/view/lcd.aspx?lcdid=39036&ver=8&bc=0 56. Hayes Medical Technology Evolving Evidence Review. The iovera System for Knee Osteoarthritis.

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.