LCD Reference Article Response To Comments Article

Response to Comments: Percutaneous minimally invasive fusion/stabilization of the sacroiliac joint for the treatment of back pain L36000

A54694

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Draft Article
Draft Articles are works in progress and not necessarily a reflection of the current billing and coding practices. Revisions to codes are carefully and thoroughly reviewed and are not intended to change the original intent of the LCD.

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General Information

Source Article ID
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Article ID
A54694
Original ICD-9 Article ID
Not Applicable
Article Title
Response to Comments: Percutaneous minimally invasive fusion/stabilization of the sacroiliac joint for the treatment of back pain L36000
Article Type
Response to Comments
Original Effective Date
12/17/2015
Revision Effective Date
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Revision Ending Date
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Article Text
This article summarizes the comments WPS received for Draft Local Coverage Determinations (LCD) Percutaneous minimally invasive fusion/stabilization of the sacroiliac joint for the treatment of back pain.

Response To Comments

Number Comment Response
1 We received several comments requesting changing the non coverage policy to coverage for CPT code 27279. Based on additional information published prior to the finalization of this LCD limited coverage will be allowed.
2 Commenter stated he received contacts from surgeons in Missouri, one neurosurgeon and one orthopedic surgeon, both of whom were in support of this technique. They had cited personal experience and the experience of others with the 80% or better results. He further stated that he reached out to the of North American Spine Society (NASS), who wanted WPS to know that there is a policy coming out from NASS in the coming months based on evidence-based guidelines and recommendations. He is unsure if it is going to be in favor or against but hoped we would be open to their consideration. The publication was considered and the policy has been updated to allow based on the recommendations.
3 Commenter stated that he is in support of a non-coverage policy for percutaneous minimally invasive fusion/stabilization of the sacroiliac joint for the treatment of back pain. Thank you for the comment.
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Associated Documents

Medicare BPM Ch 15.50.2 SAD Determinations
Medicare BPM Ch 15.50.2
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Public Versions
Updated On Effective Dates Status
10/16/2015 12/17/2015 - N/A Currently in Effect You are here

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