Sacroiliac Joint Injections and Procedures
J15 · Effective Mar 19, 2023
15 active Medicare policies list 27096, and 15 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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J15 · Effective Mar 19, 2023
J6 · Effective Mar 19, 2023
JK · Effective Mar 19, 2023
JE · Effective Mar 19, 2023
JF · Effective Mar 19, 2023
JJ · Effective Mar 19, 2023
JM · Effective Mar 19, 2023
J5 · Effective Mar 19, 2023
J8 · Effective Mar 19, 2023
15 policies from 13 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 27096 |
|---|---|---|
| Cigna Commercial Interventional Pain Management Code List - Effective 03/07/2026 | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List - Effective 03/07/2026 | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of 27096 |
|---|---|---|
| Injections for Chronic Pain Conditions | May 25, 2026 | Covered |
| Injections for Chronic Pain Conditions |
National · Effective Jan 1, 2026
National · Effective Mar 26, 2026
National · Effective Oct 18, 2024
J6 · Effective Jan 25, 2024
National · Effective Mar 5, 2026
J5 · Effective Dec 26, 2024
| May 27, 2026 |
| Covered |
| Policy | Effective | Status of 27096 |
|---|---|---|
| Aetna Interventional Pain Code List - Effective 01/01/2025 | Jan 1, 2025 | Prior auth required |
| Policy | Effective | Status of 27096 |
|---|---|---|
| Sacroiliac Joint Interventions for Pain Management | Not recorded | Covered |
| Policy | Effective | Status of 27096 |
|---|---|---|
| Sacroiliac Joint Injections | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 27096 |
|---|---|---|
| Sacroiliac Joint Injections | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 27096 |
|---|---|---|
| Sacroiliac Joint Injections | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 27096 |
|---|---|---|
| Sacroiliac Joint Injections | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 27096 |
|---|---|---|
| Interventional Pain Management | Not recorded | Covered |
| Policy | Effective | Status of 27096 |
|---|---|---|
| Cigna Medicare Advantage Interventional Pain Management Code List - Effective 01/01/2025 | Jan 1, 2025 | Prior auth required |
| Policy | Effective | Status of 27096 |
|---|---|---|
| EOCCO Pain Management Code List - Effective 05/01/2026 | May 1, 2026 | Prior auth required |
| Policy | Effective | Status of 27096 |
|---|---|---|
| Health Alliance Plan MSK Code List - Effective 01/01/2026 | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 27096 |
|---|---|---|
| Sacroiliac Joint Fusion | Jan 1, 2026 | Covered |