Fee Navigator®

    Health Service Code 18.29EA

    Sacroiliac block

    1. May only be claimed for a diagnostic branch block of a sacroiliac joint, one call may be claimed for each individual joint blocked.
    2. Two calls may be claimed for bilateral sacroiliac joints. Refer to Price List.
    3. When claimed in addition to HSC 18.29E on the same date of service, only one benefit for HSC X107A may be claimed.
    Category:M+ Designated Minor Procedure
    Base rate:$107.03

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    CALLNBRSER1For Each Call Pay Base At100%
    CALLNBRSER2 - 2For Each Call Pay Base At50%
    TRAYMINTIncrease By$13.14
    SURCEVYesIncrease By$48.82
    SURCNTAMYesIncrease By$117.12
    SURCNTPMYesIncrease By$117.12
    SURCWKYesIncrease By$48.82
    LVPLVP75YesReduce Base To75%

    Governing Rules: