Initially established in 2013 and facilitated by the International Pain and Spine Intervention Society, the Multidisciplinary Pain Workgroup (MPW) was convened to develop coverage recommendations to guide the Centers for Medicare and Medicaid
Services’ (CMS) Contractor Medical Directors (CMDs) in efforts to revise all interventional pain local coverage determinations (LCDs). Through hard work and dedication from all societies involved, the MPW achieved consensus in developing
collaborative recommendations, most of which were implemented by the CMDs to streamline interventional pain LCDs.
Following the success of this initial effort in 2013-2014, over the years, the MPW has been convened regularly
to address many other initiatives to preserve appropriate patient care access.
The MPW societies represent over 100,000 of members dedicated in whole or in part to interventional pain management. They represent divergent backgrounds, including, but not limited to, anesthesiology, interventional pain, radiology, physiatry,
and neurosurgery.
- American Academy of Pain Medicine (AAPM)
- American Academy of Physical Medicine and Rehabilitation (AAPMR)
- American Association of Neurological Surgeons (AANS)
- American College of Radiology (ACR)
- American Society of Anesthesiologists (ASA)
- American Society of Neuroradiology (ASNR)
- American Society of Regional Anesthesia and Pain Medicine (ASRA)
- American Society of Spine Radiology (ASSR)
- Congress of Neurological Surgeons (CNS)
- International Pain and Spine Intervention Society (IPSIS)
- North American Neuromodulation Society (NANS)
- North American Spine Society (NASS)
- Society of Interventional Radiology (SIR)
Mint Radiofrequency Neurotomy Trials
- The Medical Community Roundly Repudiates the Mint Trials and Makes Physician Resources Available (November 30, 2017)
- IPSIS Requests Needle Placement Images from Authors of the Dutch Mint Trial (September 19, 2017)
Agency for Healthcare Research and Quality
Systematic Review Interventional Treatments for Acute and Chronic Pain
- IPSIS Leads MPW Response to AHRQ Systematic Review (May 13, 2021)
Technology Assessment Pain Management Injection Therapies for Low Back Pain
- Medical Societies Collaborate and Respond to AHRQ Technology Assessment (July 30, 2015)
- Multisociety Letter to the Agency for Healthcare Research and Quality: Serious Methodological Flaws Plague Technology Assessment on Pain Management Injection Therapies for Low Back Pain.Pain
Med. 2016;17(1):10-5.
- Maus TP, Duszynski BS, Multisociety Pain W. Epidural Corticosteroid Injections for Radiculopathy and Spinal Stenosis.Ann Intern Med. 2016;164(9):633-4.
Oregon Health Authority
- IPSIS Leads 10-Society Effort to Require Appropriate Training for Fluoro-Guided Procedures in Oregon (December 10, 2019)
- IPSIS and 11 Other Societies Promote Access to Radiofrequency Neurotomy for Patients in Oregon (October 17, 2017)
- IPSIS and 10 Other Societies Warn About Cascade of Negative Consequences From Flawed Coverage Decision (December 8, 2016)
- IPSIS Coordinates 14 Society Response to the Oregon Health Authority’s Decision to End ESI Coverage (May 19, 2016)
Washington Health Care Authority
- IPSIS Advocates for Expanded TPI Coverage (October 15, 2024)
- WA Health Technology Clinical Committee’s Decision to Preserve Coverage for Spinal Injections (March 24, 2016)
- IPSIS Coordinates Submission of Comment Letter to the Washington State Health Care Authority (September 16, 2015)
Rathmell JP, Benzon HT, Dreyfuss P, Huntoon M, Wallace M, Baker R, Riew KD, Rosenquist RW, Aprill C, Rost NS, Buvanendran A, Kreiner DS, Bogduk N, Fourney DR, Fraifeld E, Horn S, Stone J, Vorenkamp K, Lawler G, Summers J, Kloth D, O'Brien
D Jr, Tutton S. Safeguards to Prevent Neurologic Complications after Epidural Steroid Injections: Consensus Opinions from a Multidisciplinary Working Group and National Organizations. Anesthesiology 5 2015, Vol.122, 974-984. doi:10.1097/ALN.0000000000000614.
- Noridian Urged to Revise Coverage Criteria for BVNRFA (September 7, 2023)
- Non-Coverage for SIJ RFN (March 7, 2023)
- Non-Coverage Decisions for SIJ RFN (February 10, 2023)
- Help Defend SIJ RFA Coverage (November 3, 2022)
- Defending SIJ RFA Coverage (October 14, 2022)
- Join the IPSIS-led Multisociety Effort Promoting Appropriate Medicare SIJ Intervention Coverage (March 4, 2022)
- IPSIS Convenes MPW to Promote Appropriate Coverage of Sacroiliac Joint Interventions (February 15, 2022)
- Join the IPSIS-led Multisociety Push for Appropriate Medicare ESI Coverage (February 5, 2021)
- IPSIS Convenes MPW to Advocate for Facet Interventions (May 19, 2020)
- Societies Continue to Request Appropriate Coverage of Percutaneous Vertebral Augmentation (March 30, 2020)
- IPSIS and 12 Societies Continue to Request Appropriate Coverage of Percutaneous Vertebral Augmentation (January 30, 2020)
- IPSIS and 10 Societies Request Appropriate Coverage of Percutaneous Vertebral Augmentation (December 10, 2019)
- SCS Coverage Expands in Washington State (June 7, 2024)
- Earlier Treatment for VCFs for Aetna Patients (May 28, 2024)
- URGENT: Zoom Link to 5/17 WA State SCS Coverage Hearing (May 14, 2024)
- Humana Now Covering PNS for Medicare Advantage (May 7, 2024)
- Advocacy Success: Closed-Loop SCS Coverage (April 18, 2024)
- Promoting SCS Access in Washington State (October 5, 2023)
- IPSIS Joins Pain Societies in Urging BCBS of Tennessee to Cover Peripheral Nerve Stimulation (June 16, 2023)
- IPSIS Calls for Improved Vertebral Augmentation Access (May 5, 2023)
- IPSIS Opposes Prior Authorization for Facet Interventions (September 14, 2022)
- IPSIS and 10 Other Societies Urge United Healthcare to Cover C2-3 RF Neurotomy (August 12, 2022)
- Interspinous Spacer Device Coverage (April 8, 2022)
- United Healthcare Expands Neurostim Coverage (January 18, 2022)
- We Urge United Healthcare to Cover Neuromodulation (December 10, 2021)
- IPSIS Leads Multisociety Effort to Support Discography Coverage (September 1, 2020)
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