Don't use G0260 only applies to POS 49? So, regardless of facility type, G0260 no longer needs to be used? And Is G0260 still fine to bill for an ASC or will they now just have 27096 for facility & should be billed with POS 24 and bill G0260 for our SIJI on the facility side?
For services performed in the hospital outpatient department (TOB 13x) or an ASC:
- G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography
- Must be billed with fluoroscopy code (77002) or CT (77012)
- 77002 Fluoroscopic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)
- 77012 Computed tomography guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), radiological supervision and interpretation
- Providers who submit professional claims should use 27096 and/or 66451 as appropriate
ASC and OPPS hospital based outpatient departments should report HCPCS code G0260 for SJIs. G0260 should be reported with an imaging code specific to the imaging modality employed. Report CPT 77002 for fluoroscopic guidance or CPT 77012 for CT guidance in the ASC and the hospital outpatient department. Injections of the nerves innervating the sacroiliac joint should be reported with CPT 64451. CPT 64451 includes imaging guidance. Imaging codes should not be reported with CPT 64451.
Physician services in an ASC setting should report codes as noted above in the section on professional services performed by the physician.