![]() Paravertebral facet injection/nerve block/neurolysis: Clarification of intent around requirement for advanced imaging for repeat injections.Recommendations are intended for provider education and will not be used for adjudication. Addition of statement about adherence to the emergency severity index (ESI) procedural best practices established by FDA Safe Use Initiative.Aligned with approach to conservative management defined in spine and joint surgery guidelines.Įpidural injection procedures and diagnostic selective nerve root blocks:.Addition of physical therapy or home therapy requirement and one complementary modality based on preponderance of benefit over harm to conservative care.General requirements - conservative management: Musculoskeletal program: Interventional pain management guideline updates by section Added a conservative management and advanced osteoarthritis exclusion to patellar compression syndrome section.Narrowed use of lateral release to lateral compression as a cause for anterior knee pain or chondromalacia patella. ![]() Added exclusion for steroid injection for joint being replaced within the past six weeks.Removed indication for subacromial impingement with rotator cuff tear.Added exclusions for use of xenografts or biologic scaffold for augmentation or bridging reconstruction, use of platelet rich plasma or other biologics, and concomitant subacromial decompression.Added steroid injection for all joints exclusion based on panel recommendation. ![]() These AIM Specialty Health ®* guideline updates are focused on advancing efforts to drive clinically appropriate, safe, and affordable healthcare services. The following updates will apply to the AIM Musculoskeletal Program: Joint Surgery, Spine Surgery, and Interventional Pain Clinical Appropriateness Guidelines. ![]() The following updates will be effective for dates of service on and after State & Federal / Medicaid Summary of update:. ![]()
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