Elimination of Pain Treatments Looming – Act Now

Medicare Administrative Contractors (MACs) covering most of the US are moving to terminate patients’ access to many safe, evidence-based, non-opioid pain treatments.

If enacted, this proposal would abruptly eliminate coverage of:

• Occipital nerve blocks for migraine and headache disorders
• Stellate ganglion blocks for Complex Regional Pain Syndrome (CRPS) and facial pain
• Trigeminal, pudendal, ilioinguinal, and iliohypogastric nerve blocks for neuralgias and pelvic pain
• Cluneal and suprascapular nerve radiofrequency ablation (RFA) for axial and shoulder pain
• Genicular nerve RFA for knee osteoarthritis and post-surgical knee pain

TAKE ACTION NOW TO PRESERVE COVERAGE

1. Sign the Change.org Petition. It only takes a minute to show your support.
2. Submit Your Comments Directly to the MACs.

• CGS (DL40261) Open Comment Period: closes 11/8
• NGS (DL40267) Open Comment Period: closes 11/8
• Noridian (DL40265) Open Comment Period: closes 11/8
• Palmetto (DL40263) Open Comment Period: closes 11/8
• WPS (DL40300) Open Comment Period: closes 11/22

RESOURCES
Get the facts and help your patients understand what’s at stake:

• Physician Flyer
• Patient Flyer

DEADLINE: NOVEMBER 8, 2025

ACT NOW! Your voice helps protect the integrity of clinical decision-making and access to evidence-based, effective patient care.

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.