Injections for Chronic Pain Conditions - MEDICAID - KENTUCKY

This policy covers injection-based treatments for chronic pain management — including epidural steroid injections (transforaminal, interlaminar, caudal), facet joint/medial branch procedures, sacroiliac and trigger point injections, and sympathetic/regional nerve blocks — for chronic back and neck pain and related conditions such as cervical and lumbar radiculopathy. Coverage is limited to chronic pain indications with required real‑time imaging guidance, session rules (all procedures on a single calendar day), success criteria for diagnostic blocks (typically ≥80% pain relief before confirmatory/ablative procedures), limits on levels injected, and plan‑specific restrictions on anesthesia/sedation and use of ultrasound or MAC.

"Thoracic (midback) radicular pain"

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