BCBS Requires CBT Prior to SIJ Injections

[drusso]

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If you told me that my SIJ pain was in my head, I’d be pissed….

 

[Ducttape]

good.

because BCBS Kansas says nothing about CBT before sacroiliac joint injections.

https://www.bcbsks.com/medical-policies/diagnosis-and-treatment-sacroiliac-joint-pain

 

[PMROralBoards]

good.

because BCBS Kansas says nothing about CBT before sacroiliac joint injections.

https://www.bcbsks.com/medical-policies/diagnosis-and-treatment-sacroiliac-joint-pain

View attachment 393200

I’ve never heard of the US sij injections being denied. When I’ve looked up the evidence for Fluoro vs ultrasound the data has always shown equal efficacy. I only do them under fluoro, but it’s surprising to see that in their policies.

 

[powermd]

If you told me that my SIJ pain was in my head, I’d be pissed….

This kind of thing is fantastic. Patients will do the math and just cash pay the injection.

 

[Ducttape]

it has been denied by Medicare for many years now.

when they "made" 27096, fluoro was embedded in to that cpt as a requirement.