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Review of Medicare Facet Joint Procedures

Facet joint injections are an interventional technique used to diagnose or treat back pain. Several previous reviews found significant billing errors in this area, including a prior OIG review. We will review whether payments made by Medicare for facet joint procedures billed by physicians complied with Federal requirements (Social Security Act, § 1833(e), 42 CFR § 424.32(a)(1), and 42 CFR §414.40).

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
August 2019 Centers for Medicare & Medicaid Services Review of Medicare Facet Joint Procedures Office of Audit Services W-00-19-35825 FY 2020