Intractable Pain and Epidural Catheters
Some forms of conventional therapy such as oral medication, physical
therapy, or a TENS unit may not relieve recipients with intractable pain.
Placement of an epidural catheter may be allowed when medically necessary
for recipients with intractable pain. Reimbursement for daily management is
allowed when it is medically necessary and is a separately identifiable
physician-recipient encounter is clearly documented in the medical record by
the anesthesiologist. Placement of an epidural catheter and daily
management of an epidural catheter is not reimbursable on the same date of
service.
