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Response to Comments: Sacroiliac Joint Injections and Procedures
A59334
Effective: March 19, 2023
Updated: December 31, 2025
Policy Summary
Policy A59334 is a compilation of stakeholder comments and the administrators' responses regarding the proposed Sacroiliac Joint Injections and Procedures policy and does not contain stand-alone coverage criteria. To determine covered indications, exclusions, required documentation, and frequency limits, review the final policy DL39464 referenced in this document.
Coverage Criteria Preview
Key requirements from the full policy
"This document compiles comments and responses about the proposed Sacroiliac Joint Injections and Procedures policy and does not itself specify coverage criteria; consult the final policy DL39464 fo..."
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