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Proposed LCD Released for Sacroiliac Joint Injections and Procedures

Update October 14, 2022: A letter has been sent today to the Medical Directors of multiple MACs regarding Proposed LCD-Sacroiliac Joint Injections and Procedures. Please look over the letter here.

On March 10, 2022, a multidisciplinary evidentiary CAC meeting was held with collaboration of multiple MACs. To date, NGS, Noridian, WPS and Palmetto have posted their proposed LCDs. CGS has announced an open CAC meeting, but we are awaiting on their LCD to be posted. First Coast and Novitas did not participate in the evidence development. Consequently, we are not sure if they will be posting a proposed LCD or not.

There are various dates for comment periods, with Palmetto having the first comment period closing date of Oct. 15, 2022. Please look over the LCD.

The policy does not show any major requirement changes, but it does tighten all the requirements, like facet joint injections. However, there is one problematic change related to sacroiliac joint radiofrequency neurotomy. In this proposed policy, this is considered as investigational and not covered.

ASIPP will be sending the comment letter within the comment period. If you would like to comment, please make sure that you comment prior to the deadline.

Again, the comment period on the proposed LCD for Sacroiliac Joint Injections and Procedures (DL39402) through Palmetto ends on October 15, 2022. Other Medicare Contractors’ comment closing dates are soon after.

Please see the table on the ASIPP website with the Medicare Contractors, comment period and public meeting dates, links, etc.

Here is the link to submit comments to Palmetto and view the LCD. Click here.

We will continue to update you on the future comment dates and public meetings.

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