Date Posted: September 17, 2026

This Local Coverage Determination (LCD) has been retired under contractor numbers: 02101 (AK), 02201 (ID), 02301 (OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT), and 03601 (WY).

Medicare Coverage Database (MCD) Numbers: L35456 and A56034

Effective Date: October 31, 2026

Rationale: This LCD and associated Billing and Coding article are being retired due to material now being addressed in the Peripheral Nerve Injections and Procedures for Chronic Pain LCD (L40265).

Visit the Retired LCDs webpage to access the retired LCDs.