CPT 27096 · SI Joint · Horizon BCBS NJ
Sacroiliac Joint Injection (CPT) at Horizon BCBS NJ.
How Horizon BCBS NJ approaches CPT 27096 (Sacroiliac Joint Injection (CPT)) for prior-authorization review: at last review on 2026-05-10, the policy covers this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
139Verification pending. This record is awaiting confirmation against the latest policy document — criteria summary may not reflect the current revision.
Criteria summary
High-level themes from the Horizon BCBS NJ policy of record for CPT 27096. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 6 weeks of conservative care typically required.
- Imaging concordance documentation required.
See the full Horizon BCBS NJ criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →