Rubrica

CPT G0260 · SI Joint · UnitedHealthcare Community Plan of Florida

SI Joint Injection (Medicare ASC HCPCS) at UnitedHealthcare Community Plan of Florida.

How UnitedHealthcare Community Plan of Florida 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 number2026T0621N

Criteria summary

High-level themes from the UnitedHealthcare Community Plan of Florida policy of record for CPT G0260. Verbatim policy text and per-criterion analysis are available after sign-in.

Source: UHC Community Plan of Florida — adopts UHC Commercial Sacroiliac Joint Interventions Medical Policy

See the full UnitedHealthcare Community Plan of Florida criteria.

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