CPT 27096 · SI Joint · UnitedHealthcare Community Plan of Maryland
Sacroiliac Joint Injection (CPT) at UnitedHealthcare Community Plan of Maryland.
How UnitedHealthcare Community Plan of Maryland approaches CPT 27096 (Sacroiliac Joint Injection (CPT)) for prior-authorization review: at last review on 2026-04-27, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-04-27
Policy number
2026T0621NCriteria summary
High-level themes from the UnitedHealthcare Community Plan of Maryland policy of record for CPT 27096. Verbatim policy text and per-criterion analysis are available after sign-in.
- Conservative care expectations vary; sign in for specifics.
See the full UnitedHealthcare Community Plan of Maryland criteria.
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