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

Provides billing and coding guidance for minimally invasive sacroiliac joint (SIJ) arthrodesis per LCD DL39802 (coverage decisions governed by the LCD); procedure codes are subject to NCCI and OPPS edits. Claims must include a valid ICD-10 diagnosis (or test result/symptom), report the referring/ordering physician’s name and NPI when required, and be supported by medical records (relevant history, physical exam, and diagnostic test results) available to Medicare.