CPT 27279 · SI Fusion · Humana Healthy Horizons in Florida
SI Fusion — Minimally Invasive at Humana Healthy Horizons in Florida.
How Humana Healthy Horizons in Florida 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.
Free with practitioner sign-in — magic-link email auth, no credit card.
HUM-0335 (verify current MCP)Criteria summary
High-level themes from the Humana Healthy Horizons in Florida 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 ≥3 positive SIJ provocative tests + diagnostic SIJ injection(s) with ≥75% relief documentation required (typically with ≥75% relief).
Source: HHH-FL adopts Humana MCP for Sacroiliac Joint Fusion (HUM-0335 lineage)
See the full Humana Healthy Horizons in Florida criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →