Policy Update effective 10/16/2012 for Nerve Blocks for Peripheral Neuropathy:
Indications and Limitations of Coverage and/or Medical Necessity
Nerve blocks cause the temporary interruption of conduction of impulses in peripheral nerves or nerve trunks by the injection of local anesthesia solutions.
The use of nerve blocks or injections for the treatment of multiple neuropathies or peripheral neuropathies caused by underlying systemic diseases is not considered medically necessary. Medical management using systemic medications is clinically indicated for the treatment of these conditions.
At present, the literature and scientific evidence supporting the use of peripheral nerve blocks or injections in multiple neuropathies or underlying systemic diseases that are producing peripheral neuropathies, especially for the Medicare population, is insufficient to warrant coverage. These procedures are considered investigational, and are not eligible for coverage for the treatment of multiple neuropathies or peripheral neuropathies caused by underlying systemic diseases.
Please refer to the following link to review the entire Policy:
http://www.wpsmedicare.com/j5macpartb/policy/draft/dl32565_neuro011_draft.shtml
As a reminder, signed ABNs are required to collect for any procedures/services denied not medically necessary.
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The information included in this publication is provided, among other things, to alert you to legal developments and should not be considered legal advice. Specific questions about how this information affects your particular situation should be addressed to your attorney.
Editor: Philip Blann (pblann@anesthesiabilling.com).
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