Are you attempting to submit an authorization for Genicular Nerve Injection and getting one of the messages shown below?

The guideline applicable to this procedure [MCG 27th Edition: Neurolysis, Genicular Nerve ACG: A-1047 (AC)], considers it to be experimental/investigational and, therefore, not approvable.

Requests can be submitted in our portal; however, there are nudges notifying the submitter of these details before submission. Our standard process is to offer a peer-to-peer review, but it will not change the denial outcome due to the applicable guideline(s). If you feel this is still medically necessary for your patient, you have the right to appeal the denial. Instructions for appeal are included with the denial letter.