Rubrica

CPT 27096 · SI Joint · UnitedHealthcare Community Plan of Florida

Sacroiliac Joint Injection (CPT) at UnitedHealthcare Community Plan of Florida.

How UnitedHealthcare Community Plan of Florida approaches CPT 27096 (Sacroiliac Joint Injection (CPT)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.

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Coverage Covered
Prior auth Prior auth required
Last reviewed 2026-05-06
Policy number2026T0621N

Criteria summary

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

Source: UHC Community Plan of Florida — adopts UHC Commercial/Individual Exchange — Sacroiliac Joint Interventions

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