CPT 27279 · SI Fusion · BCBS Alabama
SI Fusion — Minimally Invasive at BCBS Alabama.
How BCBS Alabama approaches CPT 27279 (SI Fusion — Minimally Invasive) for prior-authorization review: at last review on 2025-01-01, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2025-01-01
Policy number
BCBS-AL-SI-Fusion-deferCriteria summary
High-level themes from the BCBS Alabama policy of record for CPT 27279. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 24 weeks of conservative care typically required.
- Imaging concordance documentation required.
- Prior Image-guided diagnostic SI block × 2 with ≥75% relief documentation required (typically with ≥75% relief).
Source: BCBS Alabama Medical Policy (SI joint fusion — specific MP not located)
See the full BCBS Alabama criteria.
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