About this policy
CMS National Coverage Determination | ncd_id=138 | manual_section=10.5 | coverage_level_code=1 | national_coverage_type=True | under_review=False | lab_ncd=False
Coverage indications
Autogenous epidural blood grafts are considered a safe and effective remedy for severe headaches that may occur after performance of spinal anesthesia, spinal taps or myelograms, and are covered.
Documentation requirements
Item/Service Description: In the procedure blood is removed from the patient's vein and injected into his epidural space, to seal the spinal fluid leak and stop the pain. Benefit Categories: 52 - Physicians' Services
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
Backwork has no codes on record for this policy. Check the source.