SI Fusion — Minimally Invasive at Cigna.
How Cigna approaches CPT 27279 (SI Fusion — Minimally Invasive) for prior-authorization review: at last review on 2026-05-11, the policy covers this code with prior authorization required.
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MCP-0525Verification pending. This record is awaiting confirmation against the latest policy document — criteria summary may not reflect the current revision.
Criteria summary
High-level themes from the Cigna 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 documentation required (typically with ≥75% relief).
Source: Cigna Medical Coverage Policy 0525 — Sacroiliac Joint Procedures
See the full Cigna criteria.
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