Resources

Order request checklists:

Wondering what information you’ll need to enter your order request? Download our checklist for interventional pain management, spine or joint to learn more.

• Spine Surgery – Cervical, thoracic, lumbar, sacral and sacroiliac joint fusion
• Joint surgery
• Interventional pain management

*Note: procedures reviewed may vary by health plan

Carelon Medical Benefits Management Musculoskeletal Clinical Guidelines and Level of Care Clinical Guidelines
View the clinical criteria that guides our review process

Musculoskeletal Clinical Site of Care

Clinical Site of Care: Hospital-Based Ambulatory Surgical Procedures and Endoscopic Services

Musculoskeletal Clinical Site of Care: Applicable Code List

*Note: procedures reviewed may vary by health plan

Musculoskeletal Monitored Anesthesia Care (MAC) for Interventional Pain

Monitored Anesthesia Care (MAC) for Interventional Pain: Anesthesia Services for Interventional Pain Management Procedures

*Note: procedures reviewed may vary by health plan

Getting the answers you need
Frequently Asked Questions (FAQs)
Musculoskeletal Overview