CPT 27280 · SI Fusion · Aetna Better Health of Maryland
SI Fusion — Open at Aetna Better Health of Maryland.
How Aetna Better Health of Maryland approaches CPT 27280 (SI Fusion — Open) for prior-authorization review: at last review on 2026-04-27, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-04-27
Policy number
CPB 0016Criteria summary
High-level themes from the Aetna Better Health of Maryland policy of record for CPT 27280. 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 image-guided SIJ injections (CPT 27096) documentation required (typically with ≥75% relief).
See the full Aetna Better Health of Maryland criteria.
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