CPT 27096 · SI Joint · Medicare (Noridian JE MAC)
Sacroiliac Joint Injection (CPT) at Medicare (Noridian JE MAC).
How Medicare (Noridian JE MAC) approaches CPT 27096 (Sacroiliac Joint Injection (CPT)) for prior-authorization review: at last review on 2026-05-09, the policy covers this code without prior authorization.
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A59244Criteria summary
High-level themes from the Medicare (Noridian JE 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.
Source: Billing and Coding: Sacroiliac Joint Injections and Procedures (A59244, Noridian JE) / A59246 (JF)
See the full Medicare (Noridian JE MAC) criteria.
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