Prior Auth Required

27280 - Arthrodesis, sacroiliac joint, open, includes Prior Authorization Required Medical Necessity Submit history and physical

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceArthrodesis, sacroiliac joint, open, includes Prior Authorization Required Medical Necessity Submit history and physical
Procedure / Service Description

or minimally invasive, with image guidance, documentation of medical necessity - medial cortices of the ilium and the lateral cortex of the sacrum 27280 Arthrodesis, sacroiliac joint, open, includes Prior Authorization Required Medical Necessity Submit history and physical, obtaining bone graft, including documentation of medical necessity and instrumentation, when performed procedure report.

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.