How to Do It
Remember, not everyone with SI joint pain needs surgery, but if you do have SI joint pain and have tried non-surgical treatments (and they haven’t reduced your pain), know that SI joint fusion may be able to help address your pain and other symptoms.
Sacroiliac joint pain can be difficult to diagnose as other conditions can cause similar symptoms. Sacroiliac joint pain is most commonly felt in the low back and buttock but can also be referred into the thigh and leg. If numbness and tingling or weakness is present, an alternative diagnosis should be considered.
The sacroiliac joints link your pelvis and lower spine. They're made up of the sacrum — the bony structure above your tailbone and below your lower vertebrae — and the top part (ilium) of your pelvis. There are sacroiliac joints in both the right and left sides of your lower back.
Overview. Sacroiliac (SI) joint pain is felt in the low back and buttocks. The pain is caused by damage or injury to the joint between the spine and hip. Sacroiliac pain can mimic other conditions, such as a herniated disc or hip problem. Accurate diagnosis is important to determine the source of pain.
ICD-Code M25. 50 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Pain in Unspecified Joint.
ICD-10 code: M46. 1 Sacroiliitis, not elsewhere classified.
Radiculopathy, sacral and sacrococcygeal region M54. 18 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Pain that spreads. SI joint pain frequently spreads to the hip bone, pelvis, buttock, groin, and upper thigh on the affected side.
M25. 559 - Pain in unspecified hip. ICD-10-CM.
606.
719.49 - Pain in joint, multiple sites | ICD-10-CM.
ICD-10 code M46. 1 for Sacroiliitis, not elsewhere classified is a medical classification as listed by WHO under the range - Dorsopathies .
Therefore, it is clear the existing CPT code 27280 describes an open SI joint fusion procedure from multiple different approaches and that CPT code 27279 has been established to describe MIS SI joint procedures that utilize a lateral transiliac approach (Table 1).
NOTE: To utilize these chronic pain diagnosis codes, the exact nature of pain should be specifically documented in the patient medical records; such as “chronic” to utilize ICD-10 code G. 89.29 or the diagnosis term “chronic pain syndrome” to utilize ICD-10 code G89. 4.