CPT 27279 · SI Fusion · Florida Blue
SI Fusion — Minimally Invasive at Florida Blue.
How Florida Blue approaches CPT 27279 (SI Fusion — Minimally Invasive) for prior-authorization review: at last review on 2025-09-25, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2025-09-25
Policy number
02-61000-36Criteria summary
High-level themes from the Florida Blue 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 contrast-enhanced intra-articular SI joint anesthetic injection on 2 separate occasions + at least 1 therapeutic SI corticosteroid injection documentation required (typically with ≥75% relief).
Source: Florida Blue MCG 02-61000-36 Minimally Invasive Fusion Techniques
See the full Florida Blue criteria.
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