CPT 27279 · SI Fusion · Medicare (National NCDs)
SI Fusion — Minimally Invasive at Medicare (National NCDs).
How Medicare (National NCDs) approaches CPT 27279 (SI Fusion — Minimally Invasive) for prior-authorization review: at last review on 2026-05-03, the policy covers this code without prior authorization.
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Criteria summary
High-level themes from the Medicare (National NCDs) policy of record for CPT 27279. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
Source: CMS Medicare Coverage Database — Minimally Invasive Sacroiliac Joint Fusion (no NCD; MAC LCDs)
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