IPSIS Secures Clearer Medicare ESI Doc Requirements

In response to recent IPSIS advocacy efforts, most Medicare Administrative Contractors (MACs) have now revised their documentation requirements for epidural injections.

The IPSIS-recommended changes have clarified previously confusing reporting requirements that failed to differentiate between Selective Nerve Root Blocks (SNRBs) and Transforaminal Epidural Steroid Injections (TFESIs). For the MACs listed below, procedural reports should now incorporate baseline pain scores alongside the percentage of pain relief achieved immediately after the injection for SNRBs only. This requirement aims to enhance the accuracy and completeness of reporting for SNRBs and does not apply to TFESIs.

Updated Billing and Coding Articles:
CGS Administrators
First Coast Service Options
National Government Services
Novitas
Palmetto
Wisconsin Physician Services

Noridian’s update is still pending and IPSIS has reached out to request that it be expedited.

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.