Rubrica

CPT G0260 · SI Joint · Aetna Better Health of New Jersey

SI Joint Injection (Medicare ASC HCPCS) at Aetna Better Health of New Jersey.

How Aetna Better Health of New Jersey approaches CPT G0260 (SI Joint Injection (Medicare ASC HCPCS)) 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
Policy numberCPB 0016

Criteria summary

High-level themes from the Aetna Better Health of New Jersey policy of record for CPT G0260. Verbatim policy text and per-criterion analysis are available after sign-in.

Source: Aetna CPB 0016 — Back Pain: Invasive Procedures

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