iFuse Reimbursement Information for Health Care Providers | SI-BONE

Reimbursement Resources

SI-BONE is pleased to offer the following reimbursement support for its trained physicians:

  • ICD-10 Physician Coding Guide
  • ICD-10 Facility Coding Guide
  • Reimbursement Guide for IntraOp Neuromonitoring
  • ISASS Policy Statement: Minimally Invasive SI Joint Fusion - July 2016
  • NASS Coverage Recommendations: Percutaneous SI Joint Fusion
  • Insurance Support Request Form
  • List of National Association of Insurance Commissioners
  • iFuse Reimbursement Support Team
  • Patient Insurance Authorization Workbook

ICD-10 Physician Coding Guide

ICD-10 Facility Coding Guide

Reimbursement Guide for IntraOp Neuromonitoring

ISASS Policy 2016 Update – Minimally Invasive Sacroiliac Joint Fusion

ISASS (International Society for the Advancement of Spine Surgery) - see policy posting on their website

NASS (North American Spine Society) Recommendations: Percutaneous Sacroiliac Joint Fusion - see coverage recommendations on their website

National Association of Insurance Commissioners

List of Insurance Commissioners by state.

Insurance Support Request Form

SI-BONE is available to assist in gaining patient coverage decisions from third party payors and assist with prior authorizations, precertifications, and appeals for the iFuse Implant System. Our goal is to  help ensure that patients have access to medically necessary MIS SI joint fusions. The first step in the process to request assistance is the completion of this Intake Form. Download and complete the form, or fill out the online form.

Patient Insurance Authorization Workbook

Patient information to help understand the reimbursement process incuding prior authorization, appeals, explanation of terms, etc.

iFuse Field Reimbursement Team

SI-BONE has a fully-staffed, field-based team available to support your iFuse reimbursement needs. To speak with or schedule a visit with your regional reimbursement manager please call 1-800-710-8511 or email: PICS@si-bone.com

DISCLAIMER: The iFuse Implant System is intended for sacroiliac joint fusion for conditions including sacroiliac joint dysfunction that is a direct result of sacroiliac joint disruptions and degenerative sacroiliitis. As with all surgical procedures and permanent implants, there are risks and considerations associated with surgery and use of the iFuse Implant. Please review the iFuse Instructions For Use for a complete discussion of contraindications, warnings, precautions, and risks.

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Reimbursement

The information appearing on this site was gathered from third party sources and is subject to change without notice.  SI-BONE has compiled the information for convenience only.  It is not legal advice nor official payor guidance.  SI-BONE does not warrant or guarantee that the use of the information will result in coverage or payment.  Providers are solely responsible for determining medical necessity and for being in compliance with Medicare and other payor rules and requirements, as well as for the information they submit with claims and appeals.  Before any claims or appeals are submitted, providers should review official payor instructions and requirements, confirm the accuracy of their coding or billing practices with these payors, and use independent judgment when selecting codes that most appropriately describe the services or supplies provided to a patient.

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