Medicare LCD for SIJ injections require psych clearance!

[drusso]

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And another service becomes effectively "cash pay." Good luck getting into seeing pain psychologist or behavioralist before your SIJ!

 

[bedrock]

OMG!

 

[MitchLevi]

This is hyperbole

 

[drusso]

This is hyperbole

Our mental health counselor will be unable to keep up with the added work load.

 

[Asclepius186]

Template now must include “psychiatric conditions, if present, are stable.”

 

[cowboydoc]

Our mental health counselor will be unable to keep up with the added work load.

I’m sure you already send her enough pain in the @$$ patients!

 

[Ducttape]

Just type in "no active depression or psychological illnesses are contributing to the patients 8out of 10 lower back pain"

 

[Multimodal]

weird, our LCD in WA state says "should be stabilizied" not MUST be stabilized. I sure hope they dont change that anytime soon. geez!

 

[drusso]

Just type in "no active depression or psychological illnesses are contributing to the patients 8out of 10 lower back pain"

But, what if they are depressed?

 

[Ducttape]

then they need assistance, counselling.

they should be introduced to CBT.
EAAT.
ACT.

otherwise, the positive effects of the sacroiliac injection will be limited.



you know too well that it is not all about the needle, even though not everyone here seems so cognizant...

 

[drusso]

then they need assistance, counselling.

they should be introduced to CBT.
EAAT.
ACT.

otherwise, the positive effects of the sacroiliac injection will be limited.



you know too well that it is not all about the needle, even though not everyone here seems so cognizant...

If you told me that my gluteal pain was in my head, I'd be pissed.

 

[lobelsteve]

If you told me that my gluteal pain was in my head, I'd be pissed.

Thats why it needs epidural and peripheral leads. It is not just in your head, but your cord, and nerves. And then in my wallet.

 

[powermd]

And another service becomes effectively "cash pay." Good luck getting into seeing pain psychologist or behavioralist before your SIJ!


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View attachment 368702

"Stablized."

Okay, so if the patient's not catatonic, bouncing off the walls, or scratching at their wrists with a razor blade, we're all good?

 

[Ducttape]

If you told me that my gluteal pain was in my head, I'd be pissed.

you know that, at least on this forum, i am a pain in the @$$