Note: Facet joint injections (intra-articular and medial branch blocks) containing corticosteroids are considered therapeutic injections.Īetna considers ultrasound guidance of facet injections experimental and investigational because of insufficient evidence of its effectiveness.Īetna considers trigger point injections of corticosteroids and/or local anesthetics medically necessary for treating members with chronic neck or back pain or myofascial pain syndrome when all of the following selection criteria are met: If the initial injection did not produce a positive response, a second diagnostic injection is considered not medically necessary.Īdditional sets of facet injections or medial branch blocks at the same levels and side are considered experimental and investigational because they have no proven value.Īetna considers diagnostic facet joint injections not medically necessary where radiofrequency facet neurolysis is not being considered.ĭiagnostic facet joint injections are considered experimental and investigational for neck and back pain with untreated radiculopathy.įacet joint injections are considered experimental and investigational as therapy for back and neck pain and for all other indications because their effectiveness for these indications has not been established.
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