CPT 27279 · SI Fusion · BCBS Federal Employee Program
SI Fusion — Minimally Invasive at BCBS Federal Employee Program.
How BCBS Federal Employee Program approaches CPT 27279 (SI Fusion — Minimally Invasive) for prior-authorization review: at last review on 2026-04-27, the policy covers this code with prior authorization required.
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BCBSA EPS 6.01.23 / FEP reference policyCriteria summary
High-level themes from the BCBS Federal Employee Program policy of record for CPT 27279. 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 Diagnostic SI joint injection(s) with concordant relief documentation required (typically with ≥75% relief).
Source: FEP 6.01.23 (BCBSA EPS reference) — Diagnosis and Treatment of Sacroiliac Joint Pain
See the full BCBS Federal Employee Program criteria.
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