Pain Management policy updates
Track new and updated Pain Management policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric Disorders | Blue Cross Blue Shield - North Carolina | Clinical | Pain Management | Modified | Apr 1, 2026 |
| Trigger Point and Tender Point Injections | Blue Cross Blue Shield - North Carolina | Clinical | Pain Management | Modified | Dec 31, 2024 |
| Genicular Nerve Blocks and Peripheral Nerve Ablation for Knee Pain | Blue Cross Blue Shield - North Carolina | Clinical | Pain Management | Modified | Jul 17, 2024 |
| Peripheral Nerve Stimulation and Peripheral Nerve Field Stimulation | Blue Cross Blue Shield - North Carolina | Clinical | Pain Management | Modified | Jan 1, 2024 |
| Percutaneous Electrical Nerve Stimulation (PENS), Percutaneous Neuromodulation Therapy, Restorative Neurostimulation Therapy, and Percutaneous Electrical Nerve Field Stimulation (PENFS) | Blue Cross Blue Shield - North Carolina | Clinical | Pain Management | Modified | Aug 24, 2021 |
| Ablation and Neural Therapy Procedures for Headache and Pain Management | Blue Cross Blue Shield - North Carolina | Clinical | Pain Management | Modified | Nov 24, 2020 |
| Injection Therapy for Headache (Migraine and Other) and Non-Spine Management | Blue Cross Blue Shield - North Carolina | Clinical | Pain Management | Modified | Nov 24, 2020 |
| TENS (Transcutaneous Electrical Nerve Stimulation) — Coverage Criteria | Blue Cross Blue Shield - North Carolina | Clinical | Pain Management | Modified | Jun 9, 2020 |
| Immediate Release Opioid Quantity Limits | Blue Cross Blue Shield - North Carolina | Clinical | Pain Management | Modified | — |
| Healthy Blue Opioid Misuse Prevention Program Description | Blue Cross Blue Shield - North Carolina | Clinical | Pain Management | Modified | — |
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OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
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Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.