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The North American Neuromodulation Society (NANS) has joined seven national medical specialty societies in signing a joint letter urging Blue Cross Blue Shield of Illinois, Montana, New Mexico, Oklahoma, and Texas—as well as the Health Care Services Corporation—to revise their draft policy on implantable peripheral nerve stimulation (PNS) for chronic pain.
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Several Medicare Administrative Contractors (MACs) have released proposed Local Coverage Determinations (LCDs) that would classify peripheral nerve blocks and radiofrequency ablation (RFA) procedures—including genicular, shoulder, and hip—as “not reasonable and necessary."
Updated 10/21/25
CMS has directed Medicare Administrative Contractors (MACs) to lift the claims hold and process services dated October 1, 2025, and later under the Medicare Physician Fee Schedule, FQHC, and ground ambulance provisions. During the current federal funding lapse, CMS has confirmed that Medicare and Medicaid will continue. However, with reduced staffing and expired program extensions, physicians should prepare for significant disruptions.
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November 2025
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