CPT 27096 · SI Joint · UnitedHealthcare Community Plan of New Jersey
Sacroiliac Joint Injection (CPT) at UnitedHealthcare Community Plan of New Jersey.
How UnitedHealthcare Community Plan of New Jersey 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 number
2026T0621NCriteria summary
High-level themes from the UnitedHealthcare Community Plan of New Jersey 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 New Jersey criteria.
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