SI Joint Fusion Policy

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 […]