CPT 27096 · Peripheral Joint/Tendon · UnitedHealthcare Community Plan (Medicaid)
Sacroiliac Joint Injection (CPT) at UnitedHealthcare Community Plan (Medicaid).
How UnitedHealthcare Community Plan (Medicaid) approaches CPT 27096 (Sacroiliac Joint Injection (CPT)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code without prior authorization.
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Criteria summary
High-level themes from the UnitedHealthcare Community Plan (Medicaid) policy of record for CPT 27096. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
Source: UnitedHealthcare Community Plan Medicaid Coverage Policy — Joint Injections
See the full UnitedHealthcare Community Plan (Medicaid) criteria.
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