CPT 27278 · SI Fusion · BCBS Federal Employee Program
SI Fusion — Posterior/Wedge Approach at BCBS Federal Employee Program.
How BCBS Federal Employee Program approaches CPT 27278 (SI Fusion — Posterior/Wedge Approach) for prior-authorization review: at last review on 2026-05-01, the policy covers this code with prior authorization required.
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Criteria summary
High-level themes from the BCBS Federal Employee Program policy of record for CPT 27278. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 26 weeks of conservative care typically required.
- Imaging concordance documentation required.
- Prior SI joint injection (image-guided) documentation required (typically with ≥75% relief).
Source: BCBS FEP — Sacroiliac Joint Fusion Policy
See the full BCBS Federal Employee Program criteria.
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