Site Alert

Most of our online systems will be unavailable from 6 a.m. to 2 p.m. on Saturday, November 22, 2014, for scheduled system upgrades. We apologize for any inconvenience.

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

 

End of main content, page footer follows.

Access Washington official state portal

© Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.