Cervical or Thoracic Epidural Steroid Injection
What is this procedure?
Injection of corticosteroid medication into the epidural space of the cervical or thoracic spine to reduce inflammation around compressed nerve roots. Performed under fluoroscopic guidance for precision. Used for cervical radiculopathy, thoracic radiculopathy, or spinal stenosis causing nerve compression symptoms.
Does this require prior authorization?
Medical Necessity Tips
What clinical evidence supports approval
- MRI or CT showing structural pathology correlating with symptoms
- Document failed oral medication and physical therapy trial
- Frequency limits typically 3 injections per region per year
- Include pain scores and functional assessments
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What to Do If Denied
If your cervical or thoracic epidural steroid injection is denied, you have the right to appeal. Most denials are overturned on appeal when proper documentation is provided.
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