Promote Appropriate Coverage of Epidural Injections

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The International Pain and Spine Intervention Society convened the Multisociety Pain Workgroup (MPW) to summarize the best available evidence and develop recommendations regarding the appropriate coverage of epidural injections for chronic pain management. The resulting comment letters below are being shared in advance of the February 11, 2021, Medicare Administrative Contractor (MAC) Multi-jurisdictional Contractor Advisory Committee (CAC) meeting.

The letters, signed by IPSIS and 6 other medical specialty societies, have been shared with the MAC medical directors and will be shared with CAC members for whom the participating societies have contact information.

The letters present the evidence in support of epidural injections, highlighting the importance of accurate procedural technique and appropriate selection criteria in achieving optimal outcomes. They also outline specific coverage recommendations related to epidural injections. It is hoped that the letters will help inform the discussion next week and promote development and implementation of coverage criteria that will ensure appropriate access to epidural injections for Medicare patients.

Click the contractor name to download the letters.

CGS Administrators, LLC

National Government Services, Inc.

Noridian Healthcare Solutions, LLC

Novitas Solutions, Inc.

Palmetto GBA

Wisconsin Physicians Services Insurance Corporation

Help sustain this vital advocacy with your donations. The International Pain and Spine Intervention Society (IPSIS) is a tax exempt organization under US section 501(c)(3) of the Internal Revenue Code. As such, contributions are deductible to the extent allowed by law.