MIS SI joint fusions to see 27% rate increase by CMS in 2020: 4 details

Written by Laura Dyrda | November 04, 2019 | Print  |

The 2020 Medicare Physician Fee Schedule includes a significant increase for minimally invasive SI joint fusions.

Four things to know:

1. CMS increased payment for CPT 27279 by 27 percent. The code covers minimally invasive SI joint fusion procedures.

2. As of Jan. 2, 2020, the work relative value units associated with the CPT code will jump from 9.03 to 12.13.

3. Overall unadjusted surgeon pay increased from $720 per procedure to $915.

4. CMS made the increase based on comments from surgeons across the U.S. That provided evidence on the work and effort needed for the procedure.

The information here was gathered from an SI-Bone news release.

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