Sacroiliac Joint Injections and Procedures
J15 · Effective Mar 19, 2023
14 active Medicare policies list G0260, and 12 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.
Free account. Policy pages stay open to everyone.
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
12 policies from 10 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of G0260 |
|---|---|---|
| Aetna Interventional Pain Code List | Jan 1, 2025 | Prior auth required |
| Intraoperative Neurophysiological Monitoring | Oct 26, 2023 | Covered |
| Policy | Effective | Status of G0260 |
|---|---|---|
| Cigna Commercial Interventional Pain Management Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
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
| Policy | Effective | Status of G0260 |
|---|---|---|
| Sacroiliac Joint Interventions for Pain Management | Not recorded | Covered |
| Policy | Effective | Status of G0260 |
|---|---|---|
| Sacroiliac Joint Injections | Jan 1, 2026 | Covered |
| Policy | Effective | Status of G0260 |
|---|---|---|
| Sacroiliac Joint Injections | Jan 1, 2026 | Covered |
| Policy | Effective | Status of G0260 |
|---|---|---|
| Sacroiliac Joint Injections | Jan 1, 2026 | Covered |
| Policy | Effective | Status of G0260 |
|---|---|---|
| Sacroiliac Joint Injections | Jan 1, 2026 | Covered |
| Policy | Effective | Status of G0260 |
|---|---|---|
| Interventional Pain Management | Jun 14, 2026 | Covered |
| Policy | Effective | Status of G0260 |
|---|---|---|
| Cigna Medicare Advantage Interventional Pain Management Code List | Jan 1, 2025 | Prior auth required |
| Policy | Effective | Status of G0260 |
|---|---|---|
| Health Alliance Plan MSK Code List | Jan 1, 2026 | Prior auth required |