Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ) Final LCD - Effective February 16, 2025

Date Posted: January 2, 2025

This Local Coverage Determination (LCD) has completed the Open Public Meeting and Contractor Advisory Committee (CAC) comment period and is now finalized under contractor numbers: 01112 (NCA), 01182 (SCA), 01212 (AS, GU, HI, NMI), and 01312 (NV). Responses to comments received may be found as a link at the bottom of the final LCD. 

Medicare Coverage Database (MCD) Number/Contractor Determination Number: L39810

LCD Title: Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ)

Effective Date: February 16, 2025

Summary of LCD: The LCD outlines coverage for this service with specific details under Coverage Indications, Limitations and/or Medical Necessity.

Visit the Proposed LCDs webpage to access this LCD.

Last Updated Jan 02 , 2025