How to Bill and What is the CPT Code for Sacroiliac Fusion

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How to Bill and What is the CPT Code for Sacroiliac Fusion

Disclaimer: These are current codes. Please make sure you read your Operative Report before assigning any of these codes (CPT and HCPCS). Make sure you identify Medical Necessity, knows the Utilization and Reimbursement Guidelines. Be careful when assigning Diagnosis codes to meet medical necessity to avoid claims denials and rejection. Most of these procedures will need Prior Authorization, always verify benefits and eligibility before you render service. Have an approval or referral before you render service.

These are your codes:

  • CPT CODE 27279 Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of transfixing device
  • CPT CODE 27280 Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when performed
  • CPT is a trademark and owned by the American Medical Associations
  • References we used: 2018-2019 CPT Codes Books (CPT, ICD-10, HCPCS)
  • Current Guidelines from Payers including from Medicare and Medicaid if available

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Author: Pinky Maniri

Ms. Pinky, as she is fondly called - is a Reputable Professional Consultant and Expert in Practice Administration, Medical Billing, Coding, Health Information Technology, Insurance Credentialing and Compliance for Physician Offices. Well-educated with a Degree in Computer Systems Engineering and a background in Clinical Nursing and Small Business Management. Her professional mission is to make sure her clients/physicians maximize reimbursement while they remain compliant with the current rules, changes, guidelines and policies. Read More About Ms. Pinky here and See what Other's say about her Expertise Testimonials

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