- Joined
- Mar 9, 2008
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- 216
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I just got about 20 pages of new LCD for injections BS from Noridian. They imply that they might not pay if the provider is not appropriately trained, but they do not state that the provider must be a physician. Training can include residency, fellowship, post-grad training, ... Pretty ambiguous. Hopefully they will stop paying the ortho spine who did a weekend ISIS course. He only does "lumbar selective nerve root blocks" but the OR crew shows me his fluoro images and they often are not even transforaminals. Of course with 3 ml of betamethasone and 10 ml of lido and saline I am sure that it is very selective. 3 of those and they go to surgery.
Under the category of cervical and thoracic epidurals they say no steroids without radiculopathy. Maybe it's OK for lumbar.
Under the category of facets they say that if the symptoms are bilateral then both sides need to be done the same day.
These always raise more questions than they answer.
Under the category of cervical and thoracic epidurals they say no steroids without radiculopathy. Maybe it's OK for lumbar.
Under the category of facets they say that if the symptoms are bilateral then both sides need to be done the same day.
These always raise more questions than they answer.