BlueCross BlueShield developed coverage policy for Epidural Lysis of Adhesions based on specific medical criteria. Each case must have prior authorization with patient requirements being a history of prior back surgery, chronic pain of at least 2 years in duration and had no relief from conservative treatment, including physical therapy, back rehabilitation, and epidural steroid injections. Please reference Sec. III.167 in the BcBs Nebreska Medical Policy Manual for further information. www.bcbsne.com