CPT 27096 · SI Joint · Medicare (FCSO MAC)
Sacroiliac Joint Injection (CPT) at Medicare (FCSO MAC).
How Medicare (FCSO MAC) approaches CPT 27096 (Sacroiliac Joint Injection (CPT)) for prior-authorization review: at last review on 2026-05-03, the policy covers this code without prior authorization.
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Coverage
Covered
Prior auth
No prior auth
Last reviewed
2026-05-03
Policy number
A59246 (aligned)Criteria summary
High-level themes from the Medicare (FCSO MAC) policy of record for CPT 27096. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 4 weeks of conservative care typically required.
- Imaging concordance documentation required.
See the full Medicare (FCSO MAC) criteria.
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