For Clinicians For Patients

Posterior SI joint procedures.
Without the drill.

One drill-less approach that travels everywhere care happens — office, ASC, and OR. Backed by 16+ peer-reviewed publications.

Are you a patient?
The portfolio · 01

Allograft options for posterior SI joint procedures, all placed through one drill-less approach in every clinical setting.

Allo-TEQ · LINQ

A non-piercing, structural bone allograft placed posteriorly through a 1″ drill-less incision. Its large graft window can be packed with DBM filler.

Allo-TEQ · TRAQ

A cortical-piercing, structural bone allograft that engages the sacral and iliac cortices through the posterior approach. Its large graft window comes pre-filled with a cancellous plug.

The foundation · 02

The PainTEQ Instrument System.

Single-use, drill-free, through one small posterior incision.

1″
Posterior incision
0
Drills used
SUI
Single-use instruments
4+1
Procedural steps
The data · 03

Posterior SI joint procedures are
evidence-based medicine.

16+ peer-reviewed publications, including biomechanics.
Not white papers. Not data on file.

SECURE Study · n=117

Prospective

Calodney et al · Journal of Pain Research · 2024

Prospective, multicenter, single-arm study evaluating posterior SI joint procedures with LINQ® across multiple U.S. sites, with follow-up through 12 months.

View the data →
Real-world · n=258

Real-World

Bovinet et al · Orthopedic Research and Reviews · 2025

Retrospective real-world cohort study across multiple U.S. clinical sites, evaluating pain and functional outcomes following posterior SI joint procedures with LINQ® over an extended follow-up period.

View the data →
Cadaveric · Biomechanics

Biomechanics

Sayed et al · Medical Devices: Evidence and Research · 2021

Cadaveric biomechanical study evaluating SI joint motion across all three planes following posterior implant placement.

View the data →
See the publications library
Reimbursement · 04

Two codes, two distinct procedures.

Whether the device placed pierces the cortices and engages bone with intrinsic fixation determines the code. Rates, settings, and Medicare coverage by state are on the reimbursement pages.

CPT code
27278

Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, including imaging guidance, unilateral; placement of intra-articular structural bone graft, metal and/or synthetic device(s) without cortical piercing, including use of osteopromotive material and/or obtaining bone graft, when performed.

CPT code
27279

Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, including imaging guidance, unilateral; placement of transarticular and/or intra-articular device(s) that engage bone with intrinsic fixation (eg, screw[s], flange[s], blade[s]) piercing the lateral cortex of the sacrum and the medial cortex of the ilium (with or without piercing the lateral cortex of the ilium), including use of osteopromotive material and/or obtaining bone graft, when performed.

Coverage, coding, and payment are determined by individual payers and may vary by geography, plan, and patient; coverage of 27279 in the office is not yet known.

Patient Access Program

Reimbursement information and resources.

Our reimbursement team can answer questions about payer coverage policies, documentation requirements, and the prior authorization process.

Or call (855) 248-7246
01
Payer policy information
General information on published coverage criteria and documentation requirements.
02
Prior authorization resources
Information on what payers typically request and how the process works.
03
Appeal resources
Published clinical literature and general guidance for provider-prepared appeals.
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The foundation

The PainTEQ Instrument System.

Single-use, sterile, drill-free — one dedicated instrument per step, through one small posterior incision. Four universal steps, with PIERCE as the TRAQ™ +1.

Single-use sterile instruments
One instrument per step · 4 + 1
Guide pin
Step 01
Access
Guide pin
Posterior approach through a 1″ incision sets the working trajectory.
LINQ® & TRAQ™
Dilator
Step 02
Dilate
Dilator
Atraumatic soft-tissue dilation exposes the SI joint.
LINQ® & TRAQ™
Decorticator
Step 03
Decorticate
Decorticator
Prepares the joint surface for fusion.
LINQ® & TRAQ™
Cortical broach
+1
Pierce
Cortical broach
Patented broach pierces sacral and iliac cortices.
TRAQ™ only
Implant inserter
Step 04
Deliver
Implant inserter
Seats the implant with the patented drill-less methodology.
LINQ® & TRAQ™