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What is the time period between a therapeutic injection and repeat diagnostic, if the therapeutic injection has not been performed for an extended period? At this point, does diagnostic need to be repeated?

It does not make sense to use steroids during a diagnostic injection. Please explain.

Do hospitals bill a different CPT to receive compensation? Usually, the doctor’s office will bill 27096 on 1500 and we bill G0260 for facility claim (UB-04). Will PA need to have both CPTs? 27096 on Medicare fee schedule receives no compensation?

Do we use the same billing guideline for 64550 and 20551?

Can the patient can have two diagnostic SIJI and then four therapeutic SIJI within a 12-month rolling period for a total of six per year?

There is a contrast shortage. Use may not be an option.

Does anti-inflammatory steroid as named in the diagnostic injection mean an injected NSAID or corticosteroid?

CPT code 27096 includes “Image guidance,” what’s the necessary required documentation? Does the physician still need permanently recorded images? Because the fluoroscopy/CT is bundled into the procedure and therefore the fluoroscopy/CT will not be separately reported, would the image guidance in the Radiology section regarding guidance procedures still apply?

Do we use the KX modifier on facility charges for the ASC?

If using steroid during diagnostic is that when the 12-month clock start?

If a patient fails an initial diagnostic or therapeutic injection is there a certain criteria that must be fulfilled prior to considering it again, such as duration since the last injection (like over a year ago) or change in symptom character or location?

What is the purpose of a diagnostic injection, to select patients for fusion surgery only? Also, with diagnostic injections using anesthetic and steroid, what is the duration of effect expected for the steroid?

Will there be a minimal amount of time between SI joint steroid injections?

Why is radiofrequency ablation (RFA) noncovered?

What is the expected duration of steroid effect for diagnostic injection?

How can provider access post injection pain after the injection?

Can SIJ ligaments be included in a therapeutic injection?