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CPT G0260 · SI Joint · Sunshine Health (Centene) — Florida Medicaid

SI Joint Injection (Medicare ASC HCPCS) at Sunshine Health (Centene) — Florida Medicaid.

How Sunshine Health (Centene) — Florida Medicaid 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 numberCP.MP.166

Criteria summary

High-level themes from the Sunshine Health (Centene) — Florida Medicaid policy of record for CPT G0260. Verbatim policy text and per-criterion analysis are available after sign-in.

Source: Centene CP.MP.166 (Sacroiliac Joint Interventions for Pain Management) — adopted by Sunshine Health FL Medicaid

See the full Sunshine Health (Centene) — Florida Medicaid criteria.

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