How're y'all in the southeast handling this? Effective 3/19/23. We discussed this briefly in Sacral RF reimbursement but looks like it is now moving through mostly unchanged.
- No more SI joint RFAs
- Must do a "diagnostic" injection with 75% relief before doing "therapeutic" injections that have 50% relief
- Maximum of 2 diagnostics and 4 therapeutic sessions (unilateral or bilateral events) over rolling 12 months
- Shouldn't routinely be doing SIJI beyond 12 months for most people
LCD - Sacroiliac Joint Injections and Procedures (L39402)
Use this page to view details for the Local Coverage Determination for Sacroiliac Joint Injections and Procedures.
www.cms.gov
- No more SI joint RFAs
- Must do a "diagnostic" injection with 75% relief before doing "therapeutic" injections that have 50% relief
- Maximum of 2 diagnostics and 4 therapeutic sessions (unilateral or bilateral events) over rolling 12 months
- Shouldn't routinely be doing SIJI beyond 12 months for most people