Pulsed Radiofrequency for the Treatment of Chronic Pain
Defines Blue Cross Blue Shield - Rhode Island coverage position for pulsed radiofrequency (RF) denervation for chronic spinal/back (facet-origin) pain, including coding guidance and evidence summary. Applies to commercial and Medicare Advantage products; benefits may vary by contract.
Policy statement: pulsed radiofrequency denervation for chronic spinal/back pain is not covered (not medically necessary) due to insufficient evidence.
Coverage Summary
Defines Blue Cross Blue Shield - Rhode Island coverage position for pulsed radiofrequency (RF) denervation for chronic spinal/back (facet-origin) pain. Policy core position: Not covered / Not medically necessary for chronic spinal/back pain. Evidence blurb: Evidence summary: Insufficient evidence to determine effects of pulsed RF on health outcomes.