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Sacroiliac Joint Injection
CPT Code
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If you are Coding Sacroiliac Injection for Pain Management, your CPT
Procedure Code 27096 has been REVISED as of January 01, 2012.

Description of CPT Code
27096 prior to January 01, 2012 - Injection
procedure for sacroiliac joint, arthrography and/or
anesthetic/steroid.


Effective January 01, 2012, when Coding Sacroiliac Injection for Pain
Management:

Here are the revisions:

DELETED CODE CPT Code 73542
- Radiologic examination, hip,
arthrography, radiological supervision and interpretation.

REVISED CODE CPT Code 27096 - Injection procedure for sacroiliac
jount, anesthetic/steroid, with image guidance (fluoroscopy or CT)
including arthrography when performed.

This means, the imaging guidance is required for the performance of this
service or injection,

** otherwise, we are being instructed per CPT guideline that if imaging
guidance is NOT used, it is appropriate to report this service using CPT
procedure code 20552 - Injection(s); single or multiple trigger point(s), one
or two muscle(s).

You can not utilize this CPT Code if it is not performed under imaging
guidance. Make sure you are also using the right place of service codes
where the procedure was performed.

Append Modifier 50 for Bilateral procedure. Use LT or RT for unilateral
injection.

I know many of you had encountered denial when Coding Sacroiliac
Injection for Pain Management with the radiology and needle placement
guidance because it descriptively shows that as of January 2012, your
CPT Code 27096 ~ with image guidance (fluoroscopy or CT) including
arthrography when performed.

But if the services were performed prior to this change, you may appeal
your claims with the guideline prior to January 01, 2012 CPT Code
Changes.

This CPT Code also has no global period.

I hope this helps.

CPT Changes 2012, CPT Code Book 2012.
**** For more references: Consult your CPT code books. The National
Correct Coding Initiative (NCCI) and third pary payer payment policies and
guidelines

Reference: For better understanding on the Coding Sacroiliac Injection for
Pain Management, click on this
video on  Sacroiliac
Injection and see how the pain physician perform this procedure.

Watch the video, its a very interesting video to watch.

Go back to Pain Management Coding