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64483Pain Management

Transforaminal epidural injection, lumbar/sacral

Prior authorization
Commonly required

What this is, in plain language

A targeted steroid injection near a specific spinal nerve root in the lower back, done under imaging guidance.

Why a clinician orders it

Leg pain from a pinched nerve when imaging shows a specific level affected.

Medical necessity — what insurers usually look at

Like other spine injections, commonly requires prior authorization with documentation of conservative care and imaging.

Documentation to ask about

  • Imaging
  • Conservative care tried
  • Prior injection response

Questions for your provider

  • ?Is prior auth approved?
  • ?How many of these does my plan allow per year?

Terms you'll see

Medical NecessityRead more →

The insurer is reviewing whether the service is clinically appropriate for your situation.

Prior AuthorizationRead more →

Some services may need plan approval before they are performed.

Conservative TreatmentRead more →

Lower-risk care that insurers may want documented before a bigger procedure.

Important: AuraCode is an educational tool. It does not provide medical, legal, or insurance advice, claims decisions, or approval guarantees. Final coverage depends on your specific plan, eligibility, diagnosis, submitted documentation, and your insurer's review.