Autogenous Epidural Blood Graft

Autogenous epidural blood grafts (autologous epidural blood patch) are covered to treat severe headaches caused by cerebrospinal fluid leak after spinal anesthesia, lumbar puncture (spinal tap), or myelogram. The procedure uses the patient's own venous blood injected into the epidural space to seal the leak and relieve pain; no additional limitations, documentation, or frequency limits are specified in this policy.

"Autogenous (patient's own blood) epidural blood grafts are covered for treatment of severe post-dural-puncture headache occurring after spinal anesthesia, lumbar puncture (spinal tap), or myelogram."

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