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

This policy provides billing and coding rules for minimally invasive sacroiliac joint (SIJ) arthrodesis under LCD DL39812 (it does not itself change coverage) and notes procedure codes may be subject to NCCI or OPPS packaging edits. Claims must include the referring/ordering physician name and NPI when required, a valid ICD-10-CM diagnosis (or the claim will be returned), diagnostic test results or symptom codes as applicable, and complete medical-record documentation proving medical necessity available to Medicare.