CPT Code 27096: Sacroiliac Joint Injection, Unilateral

Understand CPT code 27096 for sacroiliac joint injections, including documentation requirements, billing guidelines, related codes, and FAQs.

Use Code

Frequently asked questions

No. CPT code 27096 requires fluoroscopic or CT guidance for billing. It cannot be reported for ultrasound-guided sacroiliac joint injections. Currently, there is no specific CPT code for ultrasound-guided SI joint injections; however, unlisted procedure code 64999 may be used as an alternative if ultrasound is the sole guidance method.

Yes, but 27096 is not inherently bilateral. If you inject both SI joints during the same session, you must report it bilaterally using modifier -50, or use modifiers -LT and -RT for each side, depending on the payer’s preference. Always check with the local Medicare Administrative Contractor (MAC) or private payer for billing requirements.

CPT 27096 is used for commercial payers and includes fluoroscopy or CT guidance for a therapeutic SI joint injection. G0260 is a HCPCS Level II code created by CMS for Medicare claims only, and also includes fluoroscopic or CT guidance. When billing Medicare or Medicare Advantage plans, use G0260 instead of 27096. Use of the correct code depends entirely on the patient’s insurance.