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US · guidance

CMS Pub. 100-03, ch. 1, § 160.1

Induced Lesions of Nerve Tracts

activein force · 2026-08-25 – presentas-observed

Surgically induced lesions of nerve tracts which involve destruction of nerve tissue are

primarily indicated for controlling the chronic or acute pain arising from conditions such

as terminal cancer or lumbar degenerative arthritis. Induced lesions of nerve tracts may

be produced by surgical cutting of the nerve (rhizolysis), chemical destruction of the

nerve, or by creation of a radio-frequency lesion (electrocautery). Accordingly, program

payment may be made for these denervation procedures when used in selected cases

(concurred in by the A/B MAC’s medical staff) to treat chronic pain.

Note that these procedures differ from those employing implanted electrodes and

associated equipment to control pain in that the nerve fibers are ablated rather than

stimulated and no electronic equipment is required by the patient after the operation.

History

(Rev. 173, Issued: 09-04-14, Effective: Upon Implementation: of ICD-10, Implementation: Upon Implementation of ICD-10)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
671b699b25ff4a8fa201fbdd4e37ab4cc67fdd8206eea72a005b6828c9009032
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