CPT 27279 · SI Fusion · Excellus BCBS
SI Fusion — Minimally Invasive at Excellus BCBS.
How Excellus BCBS 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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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-04-27
Policy number
7.01.93Criteria summary
High-level themes from the Excellus BCBS 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 Two contrast-enhanced fluoro/CT-guided intra-articular SI blocks documentation required (typically with ≥75% relief).
Source: Excellus BCBS Medical Policy 7.01.93 — Sacroiliac Joint Fusion or Stabilization
See the full Excellus BCBS criteria.
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