LCDActive
Intervertebral Disc Repair
L39942
Effective: April 13, 2025
Updated: December 31, 2025
Policy Summary
This policy denies coverage for all intervertebral disc injections (intradiscal/interdiscal) when used to manage chronic low back pain. No covered indications, exceptions, or frequency allowances are specified in the policy.
Coverage Criteria Preview
Key requirements from the full policy
"All intervertebral disc injections (intradiscal/interdiscal) for management of chronic low back pain are non-covered."
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Covered Medical Codes