| Procedure Code | Description | Setting | Coverage |
|---|---|---|---|
| 27096 | INJECTION PROCEDURE FOR SACROILIAC JOINT, ANESTHETIC/STEROID, WITH IMAGE GUIDANCE (FLUOROSCOPY OR CT) INCLUDING ARTHROGRAPHY WHEN PERFORMED | outpatient | covered |
| 27279 | ARTHRODESIS, SACROILIAC JOINT, PERCUTANEOUS OR MINIMALLY INVASIVE, WITH IMAGE GUIDANCE, INCLUDES OBTAINING BONE GRAFT WHEN PERFORMED, UNILATERAL; PLACEMENT OF TRANSARTICULAR DEVICE(S) AND/OR INTRA-ARTICULAR DEVICE(S) PIERCING THE LATERAL OR MEDIAL CORTICES OF THE ILIUM AND THE LATERAL CORTEX OF THE SACRUM | outpatient | covered |
| 29065 | APPLICATION, CAST; SHOULDER TO HAND (LONG ARM) | outpatient | covered |
| 29075 | APPLICATION, CAST; ELBOW TO FINGER (SHORT ARM) | outpatient | covered |
| 29085 | APPLICATION, CAST; HAND AND LOWER FOREARM (GAUNTLET) | outpatient | covered |
| 29105 | APPLICATION OF LONG ARM SPLINT (SHOULDER TO HAND) | outpatient | covered |
| 29125 | APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC | outpatient | covered |
| 29126 | APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); DYNAMIC | outpatient | covered |
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