Anesthesia Coding Alert

Question: We report G0260 when we bill for sacroiliac (SI) injections our physician performs in an ASC setting. Why are our payers denying it?

Idaho Subscriber

Answer: G0260 (Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography) is a valid code, but not one that physicians should bill. You should report 27096 (Injection procedure for sacroiliac joint, arthrography and/or anesthetic/steroid) instead.

Heads up: Many carriers have special coverage issues or medical necessity requirements for SI injections, so check your local payer's guidelines before submitting your next claim.