Traditional MedicareCoverageHigh impact
Sacroiliac Joint Injections and Procedures
Medicare/CMS - LCD·Orthopedics, Pain Management, PM&R (Physical Medicine & Rehab) +2 more·Local Coverage Determination
Effective date
Apr 2, 2026
We identified it
Jun 17, 2026
Summary
A new Local Coverage Determination for Sacroiliac Joint Injections and Procedures has been issued by CGS Administrators, effective April 2, 2026. This policy will establish coverage criteria and billing requirements for sacroiliac joint procedures under Medicare Part A and Part B.
Action Required
By April 2, 2026: Review the complete LCD L39383 policy document for specific coverage criteria, documentation requirements, and billing guidelines for sacroiliac joint injections and procedures. Update billing workflows and provider documentation templates to ensure compliance with new Medicare coverage determination requirements.