Medical policy

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Inappropriate billing of anesthesia services for epidural steroid injections (ESI) and facet joint injections for pain management

Reminder that general anesthesia is considered not medically reasonable and necessary when performing epidural steroid injections and facet joint injections for pain management.

Local and national coverage reference guide

Learn how to locate local and national coverage information regarding local coverage determinations (LCDs) and national coverage determinations (NCDs).

Local and national coverage reference guide

Learn how to locate local and national coverage information regarding local coverage determinations (LCDs) and national coverage determinations (NCDs).

FastTrack to Medicare coverage policies

FastTrack to Medicare coverage policies provides a hierarchy of critical resources to determine if a Medicare policy exists, and if not, what to do next.

FastTrack to Medicare coverage policies

FastTrack to Medicare coverage policies provides a hierarchy of critical resources to determine if a Medicare policy exists, and if not, what to do next.

Process flowcharts for new LCD and LCD reconsideration requests

Flowcharts for new LCD and LCD reconsideration requests to provide step-by-step instructions of the processes.

Understanding clinical trials and device coverage

Clinical trials background What regulatory guidance addresses devices and clinical trials in the Medicare program? 

View our Journey to LCD coverage page

Visit our Journey to LCD coverage page to find more information related to LCDs, including the LCD development process and how to become involved, as well as how local and national coverage…

Multi-jurisdictional contractor advisory committee (CAC) meeting minutes

Multi-jurisdictional CAC meeting minutes

Additional frequently asked questions about clinical trials and device coverage

View these additional FAQs about clinical trials and device coverage.