Promoting changes in laws, regulations, and other government actions to advance the mission of ASIPP®.

In its relatively short history, ASIPP has accumulated an impressive list of major achievements from its work in our nation’s capital and 50 states. These achievements have fostered patient access to pain-relieving techniques and services, while strengthening the specialty of interventional pain management.



September 28, 2021

Extension of Telephone Only Services and Elimination of Impending Cuts to Providers – Please Act Now!

In January 2022, physician practices face the following Medicare financial hits: 

1. Physician Payment Cuts
• The expiration of the congressionally enacted 3.75% temporary increase to the Medicare physician fee schedule conversion factor, which was set into place to avoid payment cuts associated with budget neutrality adjustment tied to PFS policy changes.
• The expiration of the current reprieve from the repeatedly extended 2% sequester stemming from the Budget Control Act of 2011. It appears that while Congress originally scheduled this policy to sunset in 2021, it will now continue into 2030.
• The Imposition of a 4% statutory PAYGO sequester resulting from passage of the American Rescue Plan Act, presumably extending for at least another 10 years. 

2. Facility Payment Cuts
• Under the present status, it appears that ambulatory surgery centers and other facilities will be suffering with 2% cut from sequester extension and a 4% reduction with imposition of a 4% statutory PAYGO sequester resulting from passage of the Budget Control Act of 2011

3.  Telephone Only Services
• CMS has eliminated coverage for telephone only services (CPT 99441-99443), effective December 20, 2021. 

All the financial uncertainty comes at a time when physician practices and facilities are still suffering from the financial impact of the COVID-19 public health emergency, including continued infection control protocols, that while necessary, have increased costs of provider care. In addition to this, the Delta insurgence has created numerous new problems with a reduced patient load and increased practice costs. We continue to face 20% to 25% reductions in patient revenue, while costs have escalated by 20% to 25%, with a net result of 40% reductions. No practice can sustain this. This will stretch physician practices to their limits finically, clinically, and emotionally. The reality is, as the pandemic persists and continues, it is unknown what other variants will continue attacking us. Overall, Medicare physician payments actually declined 22% from 2001 to 2020, or by 1.3% per year on average.

Please act now by contacting Members of Congress asking them to act! We need all our members, their staff, and patients to send a letter to the Members of Congress through VoterVoice. If you prefer to send your letter my mail, here is the link to the sample letter. Physician and Staff Sample Letter for customizing and mailing

For patient letters:

• Click on the link to the Word version of the Patient Letter 
• Print it off daily changing the date and ask your patients to sign it as they check in. 
• Each day, assign a member of your staff to enter the patient letters using the VoterVoice link for Patient Letters

See ASIPP Letter to Speaker Pelosi Majority Leader Schumer Leader McConnell and Leader McCarthy 

Link to submit patient letters through VoterVoice:

Sample Letter to Members of Congress

Link to submit physicians and staff letters through VoterVoice:


August 30, 2021

ASIPP Writes Comment Letters on Proposed LCD on Epidural Procedures for Pain Management Services and Needs your Participation in the Effort to Contact CMS and Congress 

A proposed LCD on Epidural Procedures for Pain Management services was announced on June 10, 2021. This nationwide policy contains many onerous changes that will detrimentally affect patient access to care. ASIPP has written comment letters with detailed explanations of the issues and needed changes to each Medicare Contractor. Click to read more.

Sample Letters Proposed LCDs on Epidural Procedures for Pain Management for Physicians, Staff, and Patients:

Kentucky Physicians and Staff
Kentucky Patients
Ohio Physicians and Staff
Ohio Patients
All States Patient Letter  


At no other time in the history of the American Society of Interventional Pain Physicians has it been more important to get involved in advocacy efforts. We are finally seeing the potential for change. After struggli..

A Delegation of ASIPP representatives met with Congressional leaders to discuss issues which are of concern for Interventional Pain Physicians. ASIPP members discussed ‘Inappropriate Reimbursement Patterns of Medicar..

Through the American Society of Interventional Pain Physicians-PAC, the organization is able to offer significant presence and influence in Washington. ASIPP members who wish to contribute, can click this link to log into our PAC Action Center to make a donation.