Billing and Coding: Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ)

This article provides billing and coding guidance for minimally invasive sacroiliac joint arthrodesis under LCD DL39797 (no separate coverage exclusions are specified here) and notes procedure codes may be subject to NCCI and OPPS edits. Key requirements: report the referring/ordering physician name and NPI when required, include a valid ICD‑10 diagnosis (claims without one will be returned as incomplete), report test results or presenting symptoms, and maintain medical-record documentation (history, exam, diagnostic test results) that supports medical necessity and is available to Medicare on request.