Billing and Coding: Percutaneous minimally invasive fusion/stabilization of the sacroiliac joint for the treatment of back pain

Coverage and billing for percutaneous minimally invasive sacroiliac joint fusion/stabilization are governed by LCD L36000; consult that LCD for the specific clinical indications, exclusions, and medical necessity criteria. For claims, the patient's medical record must be maintained, legible, include patient identifiers (name, dates of service), and list the responsible physician or non-physician practitioner, and must be available to the contractor upon request.

"Coverage for percutaneous minimally invasive fusion/stabilization of the sacroiliac joint is determined by the related Local Coverage Determination L36000 and only covered when that LCD's clinical ..."

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