Rubrica

CPT 27096 · SI Joint · Cigna

Sacroiliac Joint Injection (CPT) at Cigna.

How Cigna approaches CPT 27096 (Sacroiliac Joint Injection (CPT)) for prior-authorization review: at last review on 2026-04-26, the policy covers this code with prior authorization required.

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Coverage Covered
Prior auth Prior auth required
Last reviewed 2026-04-26
Policy numberCMM-203

Criteria summary

High-level themes from the Cigna policy of record for CPT 27096. Verbatim policy text and per-criterion analysis are available after sign-in.

Source: Cigna CMM-203 (eviCore CMM)

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