Rubrica

CPT G0260 · SI Joint · Johns Hopkins HealthCare (Employer Health)

SI Joint Injection (Medicare ASC HCPCS) at Johns Hopkins HealthCare (Employer Health).

How Johns Hopkins HealthCare (Employer Health) approaches CPT G0260 (SI Joint Injection (Medicare ASC HCPCS)) for prior-authorization review: at last review on 2025-01-01, the policy covers this code with prior authorization required.

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Coverage Covered
Prior auth Prior auth required
Last reviewed 2025-01-01
Policy numbereviCore CMM-203

Criteria summary

High-level themes from the Johns Hopkins HealthCare (Employer Health) policy of record for CPT G0260. Verbatim policy text and per-criterion analysis are available after sign-in.

Source: JHHC eviCore CMM-203

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