Peripheral Nerve Injections and Procedures for Chronic Pain (L40265) - R1 - Effective November 1, 2026

Date Posted: October 22, 2026

This Local Coverage Determination (LCD) has been revised under contractor numbers: 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), and 03602 (WY).

Effective Date: November 1, 2026

Summary of Changes:

Under Summary of Evidence subsection Genicular Nerve Injections and Procedures Genicular nerve ablation (GNA) revised letter i. to read, "There is a positive ≥50% improvement in pain, consistent pain relief or function for the expected duration of the local anesthetic used after a diagnostic GNI."

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Last Updated Oct 22 , 2026