Alert detail
LCD L36406: Minimally-invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint — Wellpoint Federal
What changed
MIS SI Joint Fusion coverage criteria active 04/01/2026 – Part A & B.
Who’s affected: Orthopedics billing teams · Effective: April 1, 2026
Primary source: View the official CMS/MAC document ↗
Get the action steps and full analysis
This change affects 9 billing codes.
The full analysis, the revision comparison and the as-of-date version of this policy are what a partner packet carries. The source document above is free and always will be.