Code intelligence

M25.5 reimbursement alerts

Policy changes, MAC LCD updates, and CMS guidance matched to code M25.5.

Elevated code riskView ICD-10 detail

Signal breakdown

5 shown · 5 total in platform

Risk: Elevated
0

Critical

0%

3

High

60%

2

Routine

40%

0

Low

0%

New this month

alerts added in last 30 days

Effective soon

no upcoming deadlines

LCD L39116: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound — Noridian

Policy LCD-L39116 · Pain Management

High

New LCD affects billing for musculoskeletal product injections.

Proposed LCD DL35010: Trigger Point Injections — Novitas

Policy LCD-DL35010 · Pain Management

High

New LCD on trigger point injections may impact billing.

LCD L35456: Nerve Blockade for Treatment of Chronic Pain and Neuropathy — Noridian

Policy LCD-L35456 · Pain Management

Routine

Prepare for billing changes in nerve blockade treatments.

Proposed LCD DL40261: Peripheral Nerve Blocks and Procedures for Chronic Pain — CGS

Policy LCD-DL40261 · Pain Management

High

Proposed LCD may alter Pain Management billing processes.

LCD L33631: Outpatient Physical and Occupational Therapy Services — Wellpoint Federal

Policy LCD-L33631 · Outpatient

Routine

Wellpoint: Outpatient PT/OT coverage criteria active as of Apr 2026

Audit documentation

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