New Medicare LCD Guidelines: No Sedation for ESI/facets

Starting 12/12/21, Medicare no longer consider any form of IV sedation medically necessary for ESI/facets. Granted the majority of my ESI's and MBBs are done awake with local, there are a select few that I think some IV sedation (more than PO) would be helpful for all parties. And definitely Cervical RFAs are smoother with IV sedation. What are everyone's plans now that Medicare (and likely other insurances to follow) will no longer will reimburse for IV sedation for ESI/facets... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums