Specialty × MAC Jurisdiction Intelligence
Pain ManagementCMS & MAC AlertsNGS (National Government Services) · Jurisdictions J6, JK
Every CMS transmittal, NGS (National Government Services) LCD revision, Federal Register notice, and OIG alert affecting Pain Management billing teams in Connecticut, Illinois, Maine, Massachusetts, Minnesota, New Hampshire, New York, Rhode Island, Vermont, Wisconsin. Signal-scored and updated daily.
Active alerts
12
Critical / High
—
MAC jurisdiction
J6, JK
Highest-risk CPT
CPT 99214
Recent Pain Management alerts under NGS (National Government Services)
The 12 most recent Pain Management reimbursement alerts affecting NGS (National Government Services) (Jurisdictions J6, JK) billing teams. Each links to the source CMS/MAC document with the codes to review and the action to take.
- FDA Approval: TYLENOL WITH NAPROXEN (NAPROXEN SODIUM, ACETAMINOPHEN) — Type 4 - New CombinationJul 29, 2026
- LCD L36850: Peripheral Nerve Blocks — Wellpoint FederalNational Government Services · Jul 23, 2026
- LCD L33622: Pain Management - Injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels — Wellpoint FederalNational Government Services · Jul 23, 2026
- LCD L39662: Trigger Point Injections (TPI) — Wellpoint FederalNational Government Services · Jul 23, 2026
- LCD L39455: Sacroiliac Joint Injections and Procedures — Wellpoint FederalNational Government Services · Jul 23, 2026
- LCD L35010: Trigger Point Injections — NovitasNovitas · Jul 23, 2026
- LCD L33912: Trigger Point Injections — First CoastFirst Coast · Jul 23, 2026
- Proposed LCD DL34892: Facet Joint Interventions for Pain Management — NovitasNovitas · Jul 10, 2026
- Proposed LCD DL33930: Facet Joint Interventions for Pain Management — First CoastFirst Coast · Jul 10, 2026
- FDA Approval: DEMEROL (MEPERIDINE HYDROCHLORIDE) — Type 1 - New Molecular EntityJun 25, 2026
- FDA Approval: SYNALGOS-DC (ASPIRIN) — Type 4 - New CombinationJun 25, 2026
- FDA Approval: TAPENTADOL (TAPENTADOL HYDROCHLORIDE) — Type 1 - New Molecular EntityJun 24, 2026
Signal intelligence — Pain Management × NGS (National Government Services)
Highest-risk CPT code
CPT 99214
Office visit, established patient, moderate complexity
View full CPT alert profileNGS (National Government Services) jurisdiction
J6, JK
Covers Connecticut, Illinois, Maine, Massachusetts, Minnesota, New Hampshire, New York, Rhode Island, Vermont, Wisconsin. Every pain management LCD revision, CMS transmittal, and Federal Register notice affecting these states is signal-scored and surfaced here daily.
View all 12 active alerts for Pain Management under NGS (National Government Services)
Full alert text, action recommendations, effective date deadlines, MAC LCD links, and signal score rationale — updated daily.
About NGS (National Government Services) (Jurisdictions J6, JK)
NGS (National Government Services) is the Medicare Administrative Contractor responsible for processing Medicare Part A and Part B claims in Jurisdictions J6, JK, covering Connecticut, Illinois, Maine, Massachusetts, Minnesota, New Hampshire, New York, Rhode Island, Vermont, Wisconsin.NGS (National Government Services) issues Local Coverage Determinations (LCDs) that define coverage criteria, ICD-10-CM diagnosis code requirements, and CPT billing guidelines for Pain Management procedures within its jurisdiction. CLV Intelligence monitors NGS (National Government Services)'s LCD publication feed, provider bulletin archives, and CMS contractor-specific transmittals daily.
Pain Management alerts in other MAC jurisdictions
Get weekly Pain Management alerts for NGS (National Government Services) — free
No credit card required. Unsubscribe any time.
Frequently asked
- What are the recent CMS updates for Pain Management under NGS (National Government Services) MAC?
- According to CLV Intelligence data, updated July 29, 2026, there are currently 12 active CMS and MAC reimbursement policy alerts for Pain Management under NGS (National Government Services) (Jurisdictions J6, JK). Of these, 3 are classified Critical or High priority based on signal scoring of source authority, effective-date urgency, and document type. Alerts originate from NGS (National Government Services) Local Coverage Determinations (LCDs), CMS transmittals, Federal Register proposed and final rules, and OIG compliance publications. CLV Intelligence monitors all NGS (National Government Services) publications daily and assigns a signal score (0–100) to surface the changes most likely to affect coding accuracy and reimbursement.
- How many active audit alerts exist for Pain Management CPT codes under NGS (National Government Services)?
- According to CLV Intelligence data, 12 active reimbursement and policy alerts currently affect Pain Management CPT codes monitored under NGS (National Government Services) (Jurisdictions J6, JK). 3 of these alerts carry a Critical or High signal score, indicating elevated compliance risk or near-term effective dates requiring timely coding review. The highest-risk CPT code currently flagged in the Pain Management alert set is CPT 99214 (Office visit, established patient, moderate complexity), which appears in NGS (National Government Services) LCD and CMS billing guidance revisions. CLV Intelligence cross-references each alert against the HCPCS and CPT code sets to surface procedure-level exposure for Pain Management billing teams.
- Which MAC jurisdiction covers Pain Management billing for practices in the NGS (National Government Services) region?
- NGS (National Government Services) administers Medicare Part A and Part B claims for practices in Jurisdictions J6, JK. For Pain Management providers, NGS (National Government Services) issues Local Coverage Determinations (LCDs) that define coverage criteria, billing requirements, ICD-10-CM diagnosis code ranges, and CPT procedure code guidelines applicable to Medicare claims in its jurisdiction. According to CLV Intelligence data, NGS (National Government Services) monitors 12 open Pain Management alerts as of July 29, 2026. Practices in the NGS (National Government Services) jurisdiction should monitor LCD revisions at NGS (National Government Services)'s provider portal and through aggregated daily alerting services such as CLV Intelligence.
- Is CPT 99214 currently under CMS or MAC review for Pain Management?
- According to CLV Intelligence data, CPT 99214 (Office visit, established patient, moderate complexity) is currently flagged as a high-signal procedure code within the Pain Management alert set monitored under NGS (National Government Services) (Jurisdictions J6, JK). CMS and MAC contractors regularly review high-volume procedure codes for coverage criteria changes, NCCI edit revisions, medical necessity documentation requirements, and fee schedule adjustments. CLV Intelligence assigns CPT 99214 an elevated signal score based on the volume and recency of policy documents referencing this code. Pain Management coding teams should review the latest NGS (National Government Services) LCD and CMS transmittals affecting CPT 99214 before claim submission to avoid denials or post-payment audits.