Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ)
J15 · Effective Apr 17, 2025
8 active Medicare policies list 27278, 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 Apr 17, 2025
JE · Effective Apr 17, 2025
JF · Effective Apr 17, 2025
JJ · Effective Apr 17, 2025
JM · Effective Apr 17, 2025
National · Effective Jan 1, 2026
National · Effective Apr 17, 2025
National · Effective Jan 1, 2026
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 27278 |
|---|---|---|
| Cigna Commercial Spine Surgery Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Intraoperative Monitoring | Sep 15, 2025 | Covered with conditions |
| Policy | Effective | Status of 27278 |
|---|---|---|
| Minimally Invasive Fixation/Fusion of the Sacroiliac Joint | Nov 1, 2025 | Covered |
| Policy | Effective | Status of 27278 |
|---|---|---|
| Minimally Invasive Fixation/Fusion of the Sacroiliac Joint | Nov 1, 2025 | Covered |
| Policy | Effective | Status of 27278 |
|---|---|---|
| Minimally Invasive Fixation/Fusion of the Sacroiliac Joint | Nov 1, 2025 | Covered |
| Policy | Effective | Status of 27278 |
|---|---|---|
| Minimally Invasive Fixation/Fusion of the Sacroiliac Joint | Nov 1, 2025 | Covered |
| Policy | Effective | Status of 27278 |
|---|---|---|
| Sacroiliac Joint Fusion | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 27278 |
|---|---|---|
| EOCCO Spine Surgery Code List | May 1, 2026 | Prior auth required |
| Policy | Effective | Status of 27278 |
|---|---|---|
| Health Partners Plans Spine Surgery Code List | Jan 1, 2025 | Prior auth required |
| Policy | Effective | Status of 27278 |
|---|---|---|
| Sacroiliac Joint Fusion | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 27278 |
|---|---|---|
| Sacroiliac Joint Interventions | Sep 10, 2026 | Covered |
| Policy | Effective | Status of 27278 |
|---|---|---|
| The Health Plan Spine Surgery Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 27278 |
|---|---|---|
| Sacroiliac Joint Interventions | Sep 10, 2026 | Covered |
| Policy | Effective | Status of 27278 |
|---|---|---|
| Sacroiliac Joint Interventions | Sep 10, 2026 | Covered |