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Audits of Medicare Payments for Spinal Pain Management Services

Medicare Part B covers various spinal pain management services including facet joint injections, facet joint denervation sessions, lumbar epidural injections, and trigger point injections. Medicare Part B also covers sedation administered during these pain management services. We will audit whether Medicare payments for spinal pain management services billed by physicians complied with Federal requirements.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
Completed (partial) Centers for Medicare and Medicaid Services Audits of Medicare Payments for Spinal Pain Management Services Office of Audit Services W-00-21-35825;
W-00-22-35825;
A-09-21-03002;
W-00-20-35825;
A-09-20-03003;
A-09-20-03010;
A-09-22-03006;
A-07-21-00618		 2025