SI-Bone announces medicare physician payment increase of 27% for SI joint fusion
SI-BONE announced the Centers for Medicare and Medicaid Services has updated the Medicare Physician Fee Schedule for CPT Code 27279, used to report minimally invasive sacroiliac joint fusion procedures, which are commonly performed with the iFuse Implant System. Effective January 1, 2020 the Work Relative Value Units associated with CPT 27279 will increase from 9.03 to 12.13. CMS based its decision in part on comments from surgeons around the U.S., providing extensive evidence that the wRVUs associated for procedures performed from 2015 to 2019 had understated the physician time and work effort required to perform the procedure. As part of this rulemaking, Medicare is finalizing an increase to the CPT code's overall surgeon payment from $720 to $915, an increase of 27%. The Fee Schedule will be updated to reflect this new amount effective January 1, 2020.