HCPCS code G0260 — Inj for sacroiliac jt anesth. Status: Active. Effective Oct 1, 2004. Source: CMS HCPCS Level II.

G0260

Active

Inj for sacroiliac jt anesth

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

Category: Procedures
Section: G-codes: Procedures / Professional Services
Effective: Oct 1, 2004
Code type: alphanumeric
OPPS Status: T — Significant procedure — subject to multiple procedure reduction
OPPS APC: 5442

MUE — Medically Unlikely Edits

Maximum units of G0260 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 2
Practitioner Services 2

Source: CMS Medicare NCCI Medically Unlikely Edits

NCCI Edits

The following codes cannot be billed together with G0260 without appropriate documentation.

Column 2 Code Modifier
G0259 Modifier cannot bypass edit
G0471 Modifier may bypass edit

Source: CMS National Correct Coding Initiative (NCCI)