LCD alert: New uniform LCD covers 12 chronic pain treatments in 38 states

by Julia Kyles, CPC on Sep 29, 2026
Take note if your practice treats chronic pain caused by carpal tunnel syndrome, Morton’s neuroma, osteoarthritis of the knee, trigeminal neuralgia and more: Practices in 38 states need to prepare for new coverage guidelines for these and other conditions before the end of October.
 
An upcoming Part B News article explains that CGS Administrators, Palmetto GBA, Noridian, Wellpoint Federal and WPS have issued the final uniform local coverage determination (LCD): “Peripheral Nerve Injections and Procedures for Chronic Pain.” The LCD will go into effect for CGS, Palmetto, Wellpoint Federal and WPS on Oct. 25. Noridian will implement its LCD on Nov. 1.
 
The following chart provides a high-level overview of the procedures addressed in the LCD and companion billing and coding article. Practices that need more guidance should review the LCD and related documents for their jurisdiction, read Part B News and register for the Advanced Specialty Coding Virtual Summit: Anesthesia (Nov. 3-5) or the Advanced Specialty Coding Virtual Summit: Pain Management (Nov 16-18).
 
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