Epidural adhesiolysis

Electrodiagnostic testing is covered when certain criteria are met. See the Coverage Decisions information for complete information on covered services and equipment.
The procedure is also known as:

  • Percutaneous lysis of epidural adhesions.
  • Epidural decompressive neuroplasty.
  • Racz neurolysis.

Authorization requirements


Is authorization required?

How do I get pre-authorization?

Yes

L&I (State fund):
Contact the claims manager

By phone: To get the claims manager’s phone number, call the Claim Information line (800-831-5227)

By secure email: If you are the attending physician, IME, or concurrent care provider, log into to the Claims & Account Center (CAC)

Self-insured:
Contact the employer

Related information on coverage and treatment

Billing and payment policies

Related rules

  • Treatment requiring authorization. WAC 296-20-01002.
  • Medical coverage decisions. WAC 296-20-02700-02850.
  • Radiology, radiation therapy, nuclear medicine, pathology, hospital, chiropractic, physical therapy, drugless therapeutics and nursing — drugless therapeutics, etc. Chapter 296-23 WAC

 

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