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Anesthesia Coding Alert

Reader questions:

Start with G0260, then over to 27096

Published on Wed Jul 01, 2009

Question: We report G0260 when we bill for sacroiliac (SI) injections our physician performs in an ASC setting. Why are our payers denying it? Idaho Subscriber Answer: G0260 (Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography) is a valid code, but not one that physicians should bill. You should report 27096 (Injection procedure for sacroiliac joint, arthrography and/or anesthetic/steroid) instead. Heads up: Many carriers have special coverage issues or medical necessity requirements for SI injections, so check your local payer's guidelines before submitting your next claim.
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