ACT NOW: Save Peripheral Nerve Block and RFA Coverage

Immediate Action Needed

A proposed Local Coverage Determination (LCD) wrongly classifies peripheral nerve blocks and radiofrequency ablation (RFA) as not medically necessary. We urge all pain medicine stakeholders to submit comments to their Medicare Administrative Contractors (MACs) and to register for and participate in open meetings to prevent this policy from going into effect (dates and links below).

Your voice matters. Physician input is critical to ensure Medicare coverage decisions reflect clinical evidence and patient need. Strong engagement from the pain community is essential to protect access to effective interventional treatments.

View Proposed LCD and Submit Comments by November 8, 2025

• CGS
• NGS
• Noridian
• Palmetto
• WPS

Open Meetings Info (Central Time):

• CGS: Tuesday, 10/28, 3–4:30 PM
• NGS: Thursday, 10/30, 11 AM–1 PM
• Noridian: Thursday, 10/30, 2–4 PM
• Palmetto: Monday, 10/27, 9–11 AM or 12–2 PM
• WPS: Wednesday, 10/22, 1–3 PM
  

IPSIS will also represent members at several of the open meetings. We are preparing a comprehensive comment letter and will seek Multisociety Pain Work Group endorsement and sign-on prior to submission.

IPSIS advocates for evidence-based policies that expand access to safe, effective treatments for individuals suffering from debilitating pain. 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.