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: 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), and 03602 (WY).  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: L39812

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