Sacroiliac Joint Fusion

March 27, 2020

ISASS Provides Comments to ACOEM on Sacroiliac Joint Fusion Practice Guidelines for Workers Compensation Coverage

On March 6, ISASS sent a comment letter to the American College of Occupational and Environmental Medicare (ACOEM) regarding their Sacroiliac Joint Fusion Practice Guideline that is used in many states for State Workers Compensation fee schedule and coverage policies. The ISASS letter asked the ACOEM Low Back Disorder Guideline committee overseen by ACOEM Editor-in-Chief, Dr. Kurt Hegmann, to consider inclusion of ISASS’ updated SI Joint Fusion policy statement and the ISASS recommendations for appropriate criteria for SI Joint Fusion procedures and criteria on non-surgical options. Dr. Hegmann acknowledged receipt of the input and indicated the committee would incorporate ISASS’ input into future reviews. Learn more about ACOEM Guidelines and Policies here. Read the ISASS comment letter to ACOEM. Read […]
March 27, 2020

ISASS Provides Comments to MCG on Sacroiliac Joint Fusion Coverage Policy Updates

On March 6, ISASS sent a comment letter to the policy guideline entity, MCG on its Sacroiliac Joint Fusion coverage policy. MCG provides research and policy guidelines used by third party payers to determine payment and coverage policies. MCG guidelines are designed to be considered as evidence based. ISASS sought to provide their coverage analyst with updated information on ISASS’ updated SI Joint Fusion policy statement and the ISASS recommendations for appropriate criteria for SI Joint Fusion procedures and criteria on non-surgical options for the purposes of developing coverage approval and prior authorization policies. MCG acknowledged receipt of the input and indicated the committee would incorporate ISASS’ input into their current review, which is ongoing. Read the ISASS comment letter […]
February 26, 2019

ISASS Meets with CMS Officials Regarding Reimbursement of Minimally Invasive Spine Surgery

ISASS Coding and Reimbursement Task Force Chair Dr. Morgan Lorio participated in a meeting with officials from Centers for Medicare & Medicaid Services, or CMS, to discuss reimbursement of minimally invasive spine surgery procedures in the Medicare Physician Fee Schedule.  The meeting occurred February 6, 2019, and was focused primarily on CPT code 27279, Minimally Invasive Sacroiliac Joint Fusion, which CMS has identified as potentially mis-valued in previous Medicare Physician Fee Schedules. CMS was represented by Director Carol Blackford; Ing-Jye Cheng, deputy director for the Office of the Department of Hospital and Ambulatory Policy Group (HAPG); and other officers in the Outpatient Care, Practitioner Services and Ambulatory Services Divisions, including Gift Tee, acting director of the Division of Practitioner Services, […]