CPT G0260 · SI Joint Injection · Illinois Medicaid (HFS)
SI Joint Injection (Medicare ASC HCPCS) at Illinois Medicaid (HFS).
How Illinois Medicaid (HFS) approaches CPT G0260 (SI Joint Injection (Medicare ASC HCPCS)) for prior-authorization review: at last review on 2025-11-01, the policy covers this code without prior authorization.
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Coverage
Covered
Prior auth
No prior auth
Last reviewed
2025-11-01
Criteria summary
High-level themes from the Illinois Medicaid (HFS) policy of record for CPT G0260. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
Source: Illinois Medicaid (HFS) SI Joint Injection
See the full Illinois Medicaid (HFS) criteria.
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