CPT G0260 · SI Joint · Aetna Better Health of Maryland
SI Joint Injection (Medicare ASC HCPCS) at Aetna Better Health of Maryland.
How Aetna Better Health of Maryland approaches CPT G0260 (SI Joint Injection (Medicare ASC HCPCS)) for prior-authorization review: at last review on 2026-04-27, the policy covers this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
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 G0260. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 6 weeks of conservative care typically required.
See the full Aetna Better Health of Maryland 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 →