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CPT 27279 · SI Fusion · UPMC for You — PA HealthChoices

SI Fusion — Minimally Invasive at UPMC for You — PA HealthChoices.

How UPMC for You — 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

Criteria summary

High-level themes from the UPMC for You — PA HealthChoices 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: UPMC Health Plan / HealthHelp (MCG) — Outpatient Surgical MSK PA framework (no Novitas LCD; PA MA FFS § 1101.21 floor)

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