News & Press: Advocacy

SIS Comments on Blue Shield of California’s Policy on Epidural Steroid Injections

Friday, April 7, 2017  
On April 4, 2017, the Spine Intervention Society commented on Blue Shield of California’s epidural steroid injection (ESI) coverage policy, which classifies full anticoagulation as a contraindication for epidural injections. While evidence has demonstrated a risk of hemorrhagic complications in anticoagulated patients undergoing interlaminar ESI, the same cannot be said for lumbar transforaminal epidural steroid injections. For lumbar transforaminal injections, there may actually be more risk in discontinuing anticoagulants, increasing the risk for vascular or cerebrovascular events. Read the SIS comment letter for further details.

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