11/05/2025
News from the Hill: AANA Federal Updates
AANA Urges Medicare Administrative Contractors to Revise Proposed Policies Sharply Curtailing Coverage of Peripheral Nerve Blocks
On Wednesday, October 29, AANA sent letters to five Medicare Administrative Contractors (MACs) urging them to reverse or modify recently released draft Local Coverage Determinations (LCDs) that would eliminate coverage for almost all peripheral nerve blocks and related procedures for chronic pain.
These MACs’ policies, which are essentially identical, would eliminate Medicare coverage and reimbursement for peripheral nerve blocks for chronic pain use except for radiofrequency neurolysis for trigeminal neuralgia, corticosteroid injections for median neuropathy at the wrist, and corticosteroid injections for Morton’s neuroma. The CGS, NGS, Noridian, Palmetto, and WPS draft policies would significantly harm the ability of CRNAs to perform and receive reimbursement for these crucial pain management procedures.
In addition to providing comments on these draft LCDs, AANA also provided draft letter templates to each state association and the AANA SRS/PRS program and also developed a separate grassroots alert to members. AANA will continue to support state associations and AANA members as we engage with the MACs on these proposed policy changes.
To join AANA’s grassroots action, please follow the links below to urge your MAC to protect patient access to safe, effective pain management.
Instructions: Follow the prompts to be directed to a pre-written email to your respective MAC.
If you provide these services, please personalize this email to tell your MAC how it impacts your patients and practice.
Public comments are open until November 8 for CGS, NGS, Noridian, and Palmetto, and until November 22 for WPS.
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