Policy Revision for Local Coverage Determination Facet Joint Interventions for Pain Management - Effective July 17, 2025

Date Posted: July 17, 2025

The following Local Coverage Determinations (LCDs) has been revised under contract number: 02101 (AK), 03101 (AZ), 02201 (ID), 03201 (MT), 03301 (ND), 02301 (OR), 03401 (SD), 03501 (UT), 02401 (WA), and 03601 (WY).

Medicare Coverage Database Number LCD Title and Revision Number
L38803 Facet Joint Interventions for Pain Management

Effective Date: July 17, 2025

Summary of Changes: Typographical and grammatical updates were made throughout the LCD as well as updates to hyperlinks found in the Bibliography.

Visit the Noridian Active LCDs webpage or access it via the CMS Medicare Coverage Database (MCD).

Last Updated Jul 17 , 2025