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Response to Comments: Sacroiliac Joint Injections and Procedures (DL39475)
A59329
Wisconsin Physicians Service Insurance Corporation (J05)
Effective: March 19, 2023
Updated: December 31, 2025
Policy Summary
This document is a responses-to-comments summary regarding Draft LCD DL39475 for sacroiliac joint injections and procedures and does not establish or modify coverage criteria. For actionable indications, limitations, required documentation, and frequency limits, refer to the Draft LCD DL39475 itself.
Coverage Criteria Preview
Key requirements from the full policy
"This article summarizes public comments received on Draft LCD 'Sacroiliac Joint Injections and Procedures (DL39475)' and does not itself establish clinical coverage criteria; refer to DL39475 for c..."
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