ArticleActive
Response to Comments: Minimally-Invasive Surgical (MIS) Fusion of Sacroiliac (SI) Joint
A54781
Effective: February 1, 2016
Updated: December 31, 2025
Policy Summary
The provided file contains only the policy header and a note that the draft MIS SI joint fusion policy underwent a public comment period from 10/21/2015 to 12/07/2015 and was released to final format. No specific coverage indications, limitations, documentation requirements, or frequency limits are present in the supplied text. Obtain the full final policy A54781 (including the response-to-comments content) to extract actionable coverage criteria; manual review is required.
Coverage Criteria Preview
Key requirements from the full policy
"Provided document contains only the policy header and statement that comments were received; the final policy text and coverage criteria for MIS fusion of the SI joint are not included and must be ..."
Sign up to see full coverage criteria, indications, and limitations.