CPT^® 27279, Under Arthrodesis Procedures on the Pelvis and Hip Joint

The Current Procedural Terminology (CPT^®) code 27279 as maintained by American Medical Association, is a medical procedural code under the range - Arthrodesis Procedures on the Pelvis and Hip Joint.

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Summary

The provider performs sacroiliac (SI) joint fusion using a percutaneous or minimally invasive approach. The SI joint is where the sacrum (the base of the spine) meets the ilium (part of the pelvic bone). In this service, the provider places transarticular devices, which are implants that cross through the joint and pierce the cortical bone of the ilium and sacrum, and/or they place intra–articular devices, with at least one implant piercing the cortical bone. The procedure is unilateral, meaning it is performed on one side only.

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SI JOINT FUSION REVISION si joint fusion

My Dr. did a revision to an SI joint Fusion. There was one screw that had backed out. He removed that and filled with bone cement and then inserted another screw in a different position. There is no... [ Read More ]

CPT 27279

Can CPT 27279 be billed or payable in POS 11?... [ Read More ]

27279 in POS 11

Is CPT code 27279 billable/payable in POS 11?... [ Read More ]

27279 and 20931 denial

[QUOTE="celiaw, post: 491586, member: 718918"] Hello! I am new to a pain management office and have been going through denials that have gathered and noticed when 27279 and 20931 are being billed toge... [ Read More ]

27279 and 20931 denial 27279 bundled pain management

Hello! I am new to a pain management office and have been going through denials that have gathered and noticed when 27279 and 20931 are being billed together, they almost always pay 27279 but will not... [ Read More ]

CPT coding question

What exactly was the reason for the denial? This procedure sounds like a percutaneous SI joint fusion - should this maybe have been coded with CPT 27279?... [ Read More ]

SI Joint Fusion

Surgeon and vendor insist on 27279 (Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and p... [ Read More ]

ICD10 for 27279 27279 billing icd10 medicare rates

I am trying to bill 27279 to Medicare but my EMR system is saying all the ICD10 codes I put in do not prove medical necessity. I have tried every sacroiliac code there is besides fracture because the ... [ Read More ]

add on code for 27279 (SI joint fusion)

I have a physician billing for a SI joint fusion (27279). He also used stereotactic navigation for instrumentation. He listed the code as 61783. Medicare is denying this stating that 61783 is not an a... [ Read More ]

Medicare denying the billing of code C1713 with the code 27279.

Looks like both codes (C1713 & L8699) have a status indicator of N and a Payment Indicator of N1 so it rolls up into the CPT 27279 (APC 0425 in 2015 & APC 5125 for 2016)... [ Read More ]

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