New Cat 1 Code for Dorsal SIJ Fusion

[Norepi]

Sorry, there's no food for thought here.

SI laxity or sclerosis of the joint. OA...

By the very MOA of SCS, there is no role for stimulation.

The thought process your detailing is what leads to overuse and subsequent payer scrutiny. Eventually the treatment goes away.

What would be your next proposed step in management of such a patient?

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[drusso]

T code is the same as lateral or posteriolateral for the facility. Lot of money.

How are the HOPD docs getting a piece of that action?

 

[BobBarker]

It would be up to each physician to
negotiate a WRVU for it and then it would be converted at their typical rate.

 

[Taus]

What would be your next proposed step in management of such a patient?

If it is truly that bad, which it rarely is in a reasonable person, I send to an appropriately trained spine surgeon for Mis fusion. 2 to 3 per year max.

 

[MitchLevi]

What would be your next proposed step in management of such a patient?

Can't fix everything.

Do all the regular stuff, and DO IT WELL.

A lot of poor technique when it comes to SI management.

Everything fails, live with it. You're not fusing my mother's SIJ.

 

[SpineandWine]

Mechanical issue - needs mechanical fix
Agree, no utilization of SCS

 

[SSdoc33]

Mechanical issue - needs mechanical fix
Agree, no utilization of SCS

No no no

By 'mechanical fix' do you mean a fusion?

Or some core stabilization around SIJ?

Bc if you can tell if a sij is counternutated then you are a better diagnostition than me

 

[SpineandWine]

No no no

By 'mechanical fix' do you mean a fusion?

Or some core stabilization around SIJ?

Bc if you can tell if a sij is counternutated then you are a better diagnostition than me

Based on incidence, it’d be higher probability that an issue with SIJ is more likely ligament laxity, specifically in women who have given multiple birth, spondyloarthropathies or people with back fusion with adjacent segment disease.

Not sure what the probability that arthritis or nerve irritation of lateral branches cause “SI” type pain

My understanding is majority of true SI pain is purely mechanical