Surgery for lumbar radiculopathy/sciatica

Lumbar radiculopathy is a clinical syndrome characterized by radiating leg pain, with or without motor weakness, and sensory disturbances in a myotomal or dermatomal distribution. The objective of treatment for radiculopathy is symptom relief through nonsurgical management, or surgical intervention to decompress the affected nerve.

Coverage decision: Covered with conditions (Effective date: November 1, 2018).

Authorization requirements


Is authorization required?

How do I get pre-authorization?

Yes

L&I (State fund): request Utilization Review provided by Comagine

For self-insured: Contact the employer or its third party administrator.

Regulatory authority and related information

 

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