SI Joint Injection in an ASC Coding

Question:

Does Medicare require a different code than 27096 for SI joint injections billed to an ASC?

Answer:

Yes. For ASC (Ambulatory Surgery Center) billing, Medicare requires HCPCS code G0260 for facility billing instead of 27096. For professional (physician) billing, use 27096. Remember to always verify payor-specific requirements.

*This response is based on the best information available as of 06/04/26.