New Local Coverage Determination (LCD) for Sacroiliac Joint Injections and Procedures
A newly created Local Coverage Determination (LCD) policy change will affect providers who render and bill for Sacroiliac Joint Injections. This information was previously in the National Government Services’ Pain Management LCD (L33622).
This new LCD, L39455 – Sacroiliac Joint Injections and Procedures, and the coinciding Billing and Coding Article (A59233), reflects multiple changes to current policy, including an expansion of the Indications and Limitations, an addition of frequency guidelines, as well as changes to payable diagnoses.
This LCD is effective for services performed on or after March 19, 2023. You may now view the future-dated LCD and article on CMS’ Medicare Coverage Database. We strongly urge you to familiarize yourself with these changes, so you and your patients are prepared.
