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 L39812—coverage follows the referenced LCD and no additional exclusions are specified here. Key requirements include adherence to NCCI/OPPS edits, reporting the referring/ordering physician name and NPI when required, submitting a valid ICD‑10‑CM diagnosis code (claims missing one will be returned), reporting diagnostic test results or symptoms, and maintaining medical-record documentation (history, exam, pertinent test results) to support medical necessity.