LCDActive
Intervertebral Disc Repair
L39958
Effective: April 13, 2025
Updated: December 31, 2025
Policy Summary
This policy states that intervertebral disc injections (intradiscal/interdiscal) for the management of chronic low back pain are not covered. No situations are listed in which these procedures are covered under this policy.
Coverage Criteria Preview
Key requirements from the full policy
"All intervertebral disc injections (intradiscal or interdiscal) for management of chronic low back pain are not covered."
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Covered Medical Codes