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Clarification on SI Joint Coding "HCPCS code 27096, Injection procedure for sacroiliac joint, arthrography and /or anesthetic/steroid, is not on the list of Medicare approved ASC procedures because ASCs are to report HCPCS code G0260 when a therapeutic sacroiliac joint injection is administered to a beneficiary in an ASC." and "Therefore, we are instructing carriers to add CPT code 27096 to their file of ASC approved procedures, to ensure that claims from physicians that perform 27096 in an ASC are paid the lower "facility rate" under the Medicare physician fee schedule."
Mowles Medical Practice Management, LLC |