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Understanding Coverage Policies and LCD 64483 Various MACs (Medicare Administrative Contractors) have a specific LCD 64483 policy defining conditions of imaging-confirmed radiculopathy that warrant additional imaging alongside these common coverage conditions: Conservative treatment (e.g., physical therapy or medications) must have failed before imaging is performed No prior injections within the last 6 weeks (which may depend on the LCD) Limits on injection frequency annually Noncompliance with set guidelines can lead to claim denials or recoupments

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