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): By phone: To get the claims manager’s phone number, call the Claim Information line (1-800-831-5227) By secure email: If you are the attending physician, IME, or concurrent care provider, log into to the Claims & Account Center (CAC) |
Self-insured: |
Related information on coverage and treatment
- Coverage decision: Epidural adhesiolysis (Effective Date: November 1, 2004).
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
