LCDActive
Nerve Blocks for Peripheral Neuropathy
L35222
Wisconsin Physicians Service Insurance Corporation (J05)
Effective: November 30, 2023
Updated: December 31, 2025
Policy Summary
Nerve blocks and electrostimulation/electromagnetic stimulation for treatment of multiple neuropathies or peripheral neuropathies caused by underlying systemic diseases are considered investigational or not medically necessary and are not covered; ultrasound guidance for these non-covered injections is also denied. The policy provides no coverage criteria, documentation requirements, or frequency limits for other uses of nerve blocks; applicability to focal or non-systemic neuropathies is not addressed and may require manual review.
Coverage Criteria Preview
Key requirements from the full policy
"Nerve blocks (injection of local anesthetic agent(s) and/or steroid) for the treatment of multiple neuropathies or peripheral neuropathies caused by underlying systemic diseases are not medically n..."
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