CPT 27279 · SI Fusion · Geisinger Health Plan — PA HealthChoices
SI Fusion — Minimally Invasive at Geisinger Health Plan — PA HealthChoices.
How Geisinger Health Plan — PA HealthChoices approaches CPT 27279 (SI Fusion — Minimally Invasive) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-06
Policy number
Cohere MSK — SI FusionCriteria summary
High-level themes from the Geisinger Health Plan — PA HealthChoices 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 diagnostic SI joint injections with intra-articular local anesthetic documentation required (typically with ≥75% relief).
See the full Geisinger Health Plan — PA HealthChoices criteria.
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