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

This policy provides billing and coding guidance for minimally invasive sacroiliac joint (SIJ) arthrodesis under LCD DL39810 (it does not change coverage) and effectively excludes claims lacking required coding or documentation. Claims must follow NCCI/OPPS edits, include the referring/ordering physician name and NPI when required, contain a valid ICD‑10 diagnosis that describes the treated condition (or be returned), report diagnostic test results if known, and retain medical-record documentation (history, exam, pertinent test results) to support medical necessity and to be made available to Medicare on request.