CPT 27279 · SI Fusion · Independence Blue Cross
SI Fusion — Minimally Invasive at Independence Blue Cross.
How Independence Blue Cross approaches CPT 27279 (SI Fusion — Minimally Invasive) for prior-authorization review: at last review on 2026-01-01, the policy covers this code with prior authorization required.
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IBX-precert-2026-01-01Criteria summary
High-level themes from the Independence Blue Cross 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 Diagnostic SI joint injection(s) documentation required (typically with ≥75% relief).
Source: Independence Blue Cross Medical Policy — Sacroiliac Joint Fusion (precert via Carelon)
See the full Independence Blue Cross criteria.
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