Sedgwick Pain Injections - Spine prior authorization requirements (2026)

What Sedgwick generally requires to approve Pain Injections - Spine (CPT 62281, 62291, 62292). Yes. Sedgwick generally requires prior authorization for Pain Injections - Spine (CPT 62281, 62291, 62292).

General reference compiled from public sources. This is not a coverage determination or medical advice. Always confirm current requirements with Sedgwick before submitting.

Medical-necessity criteria Sedgwick generally applies

Sedgwick/ODG WC: (1) Work-related diagnosis with imaging correlation; (2) ODG criteria for injection type and frequency met; (3) Treating WC physician ordering; (4) ODG frequency limits: 3 per spinal region per year; (5) Prior injection response documented (functional improvement toward RTW); (6) NCM informed of injection plan for complex cases

Diagnoses that commonly support medical necessity

ICD-10-CM diagnoses frequently associated with medical necessity for Pain Injections - Spine. Confirm the covered diagnosis list against the current Sedgwick policy.

M54.16Radiculopathy, lumbar regionM54.12Radiculopathy, cervical regionM47.816Spondylosis without myelopathy or radiculopathy, lumbar region

Commonly required documentation

  • Work injury records
  • MRI/CT
  • treating physician order
  • PT records
  • prior injection response with functional metrics
  • ODG compliance documentation

How to submit

Source

Sedgwick uses MDGuidelines (ODG) for all UR decisions. Injections must demonstrate functional improvement and RTW progress. Contact claim adjuster for cases where ODG thresholds are reached to discuss further authorization.

Frequently asked questions

Does Sedgwick require prior authorization for Pain Injections - Spine?

Yes. Sedgwick generally requires prior authorization for Pain Injections - Spine (CPT 62281, 62291, 62292).

What does Sedgwick require to approve Pain Injections - Spine?

Sedgwick/ODG WC: (1) Work-related diagnosis with imaging correlation; (2) ODG criteria for injection type and frequency met; (3) Treating WC physician ordering; (4) ODG frequency limits: 3 per spinal region per year; (5) Prior injection response documented (functional improvement toward RTW); (6) NCM informed of injection plan for complex cases Always confirm against the current Sedgwick policy.

How long does a Sedgwick prior authorization take?

Sedgwick typically decides Pain Injections - Spine requests in about 3 days. Timeframes vary; check the payer portal.

Submitting Pain Injections - Spine to Sedgwick?

Praxigen checks your clinical note against these criteria before you submit and drafts a policy-cited appeal if it is denied. You review and submit; nothing is sent automatically.

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Other Sedgwick prior authorization requirements

Anterior Cervical Discectomy and FusionDorsal Column (Lumbar) Neurostimulators: Trial or ImplantationKnee ArthroscopyLumbar Spinal FusionShoulder Arthroscopy Rotator Cuff RepairTotal Knee Arthroplasty

Related guides

Why was my prior authorization denied? Top reasons and how to fix eachHow to write a prior authorization appeal that cites policy