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Neuroablative Techniques for Chronic Pain - Medicare Advantage (Revised)

Humana·IA, KS, MO, NE, IN, MI, IL, MN, WI, CT, MA, ME, NH, NY, RI, VT, KY, OH, CA, HI, NV, AK, AZ, ID, MT, ND, OR, SD, UT, WA, WY, AR, CO, LA, MS, NM, OK, TX, DE, DC, MD, NJ, PA, AL, GA, TN, NC, SC, VA, WV, FL, PR · Pain Management, Anesthesiology, Neurosurgery +2 more·Medicare Advantage
Effective date
Aug 6, 2026
We identified it
Aug 4, 2026
Days to comply
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Summary

This is a comprehensive Medicare Advantage policy on neuroablative techniques for chronic pain management, effective 08/06/2026. The policy defines covered denervation procedures (radiofrequency ablation, cryoablation, facet denervation, basivertebral nerve ablation, and others) and references MAC-specific LCDs and NCDs that vary by geographic jurisdiction. Billing teams must verify applicable MAC requirements for their region before processing claims for these procedures.

Action Required

Action needed
By 08/06/2026: Billing team must verify the applicable Medicare Administrative Contractor (MAC) for your practice's geographic region in the policy's MAC jurisdiction table. For each neuroablative procedure billed (radiofrequency ablation, cryoablation, facet denervation, basivertebral nerve ablation, etc.), retrieve the corresponding LCD and LCA documents from your MAC using the document ID numbers listed in the policy. Update billing system to enforce prior authorization requirements and coding rules specified in each MAC's LCD. Ensure providers document medical necessity per MAC guidelines. Contact your MAC directly for specific CPT/HCPCS codes and billing instructions, as codes are not specified in this policy document. Claims submitted without adherence to MAC-specific requirements will be denied.

Related policy hubs

Humana policiesIA policy changesKS policy changesMO policy changesNE policy changesIN policy changesMI policy changesIL policy changesMN policy changesWI policy changesCT policy changesMA policy changesME policy changesNH policy changesNY policy changesRI policy changesVT policy changesKY policy changesOH policy changesCA policy changesHI policy changesNV policy changesAK policy changesAZ policy changesID policy changesMT policy changesND policy changesOR policy changesSD policy changesUT policy changesWA policy changesWY policy changesAR policy changesCO policy changesLA policy changesMS policy changesNM policy changesOK policy changesTX policy changesDE policy changesDC policy changesMD policy changesNJ policy changesPA policy changesAL policy changesGA policy changesTN policy changesNC policy changesSC policy changesVA policy changesWV policy changesFL policy changesPR policy changesPain ManagementAnesthesiologyNeurosurgeryOrthopedicsNeurology