Interventional Pain Management
Indicates Non-Covered Service
Botulinum Toxins
Continuous Peripheral Nerve Blocks
(CPNB)
Destruction by Neurolytic Agent; Interdigital Nerve of the Foot—Morton’s Neuroma
Dorsal Column Stimulation
-Commercial-
Epidural & Selective Nerve Root Block (SNRB)
-Medicare-
Epidural Injections -
Florida Blue
Extended release opioids
Facet Joint Denervation
Radiofrequency Joint Ablation/Denervation -
Cigna
Facet Joint Injections, Medial Branch Blocks, & Facet Joint Radiofrequency
Facet Joint Injections/Medial Branch Blocks -
Cigna
Injection of Morton's neuroma
Injections for Chronic Pain Conditions
Nerve Blockade for Treatment of Chronic Pain & Neuropathy
Neuroablative Techniques for Chronic Pain-
Humana
Paravertebral Facet Joint
Block
Peripheral
Nerve
Blocks
Sacroiliac Joint Injection
Sacroiliac Joint Injection
Cigna
Spinal Cord Stimulation (Dorsal Column Stimulation)
-Medicare-
Spinal Cord & Dorsal Root Ganglion Stimulation
-Cigna-
Tendon Sheath and Ligament Injections -
Florida Blue
Trigger Point
Injections
Trigger Point
Injections -
Florida Blue
Visco-
supplements -Humana
Visco-
supplements -Humana-Medicaid
Visco-supplementation Medicare
™
62320, 62321, 62322, 62323, 64479, 64480, 64483, 64484, 64999, 64490, 64491, 64492, 64493, 64494, 64495, 64633, 64634, 64635, 64636, 64999,0213T, 0214T, 0215T, 0216T, 0217T, 0218T, E0731, E0744, E0745, E0764, E0770, 27096, 63650, 63655, 63663, 63664, 63685, 63688, 64999, C1816, C1820, C1822, L8679,L8680, L8682, L8685, L8686, L8687, L8688, 20610, 20611, 61860, 61863, 61867, 61885, 61886, 64553, 64561, 64566, 64568, 64581, 64590, 0587T, 0588T, C1767, C1787, L8683, 27096, 63650, 63655, 63663, 63664, 63685, 63688, 64999, C1816, C1820, C1822, L8679, L8680, L8682, L8685, L8686, L8687, L8688, 20610, 20611,