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M46.1
Sacroiliitis, not elsewhere classified
ICD10CM code
Medical Policies and Guidelines for Sacroiliitis, not elsewhere classified
Related policies from health plans
OSCAR
Spinal Orthoses (Back Braces) (CG051)
CIGNA
Peripheral Nerve Destruction for Pain Conditions - (0525)
SUNFLOWER
Sacroiliac Joint Interventions for Pain Management (PDF)
Similar Codes
ICD10CM codes
M46.1
- Sacroiliitis, not elsewhere classified
M46.98
- Unspecified inflammatory spondylopathy, sacral and sacrococcygeal region
M46.48
- Discitis, unspecified, sacral and sacrococcygeal region
M46.88
- Other specified inflammatory spondylopathies, sacral and sacrococcygeal region
M53.3
- Sacrococcygeal disorders, not elsewhere classified
M46.87
- Other specified inflammatory spondylopathies, lumbosacral region
M46.58
- Other infective spondylopathies, sacral and sacrococcygeal region
M46.97
- Unspecified inflammatory spondylopathy, lumbosacral region
M46.28
- Osteomyelitis of vertebra, sacral and sacrococcygeal region
M46
- Other inflammatory spondylopathies
HCPCS codes
G0260
- Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic
L0623
- Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum
L0624
- Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels placed over the
G0259
- Injection procedure for sacroiliac joint; arthrography
L0621
- Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac j
L0622
- Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac j
G9012
- Other specified case management service not elsewhere classified
L1499
- Spinal orthosis, not otherwise specified
L0455
- Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra,
L0454
- Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, r
CPT4 codes
64625
- Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluorosco
72202
- Radiologic examination, sacroiliac joints; 3 or more views
72200
- Radiologic examination, sacroiliac joints; less than 3 views
27280
- Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when
01170
- Anesthesia for open procedures involving symphysis pubis or sacroiliac joint
64451
- Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with imag
26991
- Incision and drainage, pelvis or hip joint area; infected bursa
01160
- Anesthesia for closed procedures involving symphysis pubis or sacroiliac joint
26992
- Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess)
46040
- Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure)