News & Press: Advocacy

SIS Suggests Changes to Cigna Headache & Occipital Neuralgia Treatment & Peripheral Nerve Policies

Thursday, March 8, 2018  
On March 8, 2018, SIS recommended changes to Cigna’s medical coverage policy for headache and occipital neuralgia treatment. The letter recommends coverage of third occipital nerve (C2-3) radiofrequency neurotomy treatment for headache and occipital neuralgia and provides a detailed summary of the evidence of effectiveness in appropriately selected patients.

The letter also notes that Cigna excludes coverage for radiofrequency denervation of the sacroiliac joint, also referred to as lateral branch radiofrequency neurotomy (LBRFN), classifying the procedure as investigational. SIS suggested, based on a recently completed multisociety-endorsed set of appropriate use criteria for sacroiliac interventions, that the procedure is an appropriate treatment for suitably selected patients.

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