Beginning in 2012 Medicare has begun denying our SI joint injections for medical necessity. Dx code used is 720.2 which is a payable code per their LCD. Anyone else having this problem, and if so, have you found a solution? Thanks.
This info is from a webinar I sat in on, not sure if it'll help your situation:
- 27096 for injection procedure for SI joint, anesthetic/steroid with image guidance (fluoro or CT) including arthrography when performed;
- bundled the imaging
- states if you did without imaging it is considered a trigger point 20552. Different from previous recommendations of 20610. States if you don't use imaging, you can't confirm you are in the "joint" so trigger point!