LCD L36406: Minimally-invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint — Wellpoint Federal
Orthopedics · LCD-L36406
Government source· CMS / MACverify ↗Full analysis available with a CLV subscription.
View alertCPT procedure code
$1,283.60
2026 Physician Fee Schedule · non-facility
Source: CMS Physician Fee Schedule (PPRRVU 2026). CMS fee schedules ↗ · PFS status indicator A
National amount before geographic adjustment. Your MAC's locality rate will differ.
Code definition
Code
27280
Code system
CPT (Current Procedural Terminology)
This CPT code is not in our curated reference. CPT codes are maintained by the American Medical Association (AMA). Full descriptions require an AMA license.
Category
—
Short description sourced from CMS publicly available fee schedule data. Full CPT descriptions are copyright AMA. Not a substitute for the official CPT codebook.
CLV Intelligence is tracking 1 policy change that cite CPT 27280 most recently on 2026-07-23, drawn from 1 LCD/NCD coverage update. The changes span Orthopedics.
Counts reflect the source documents CLV has matched to CPT 27280 to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.
Policy changes matched to 27280
Matched to this code by CLV analysis of each policy. The linked source document is authoritative.
Orthopedics · LCD-L36406
Government source· CMS / MACverify ↗Full analysis available with a CLV subscription.
View alertAudit documentation
The Tripwire Audit Pack exports 12 months of single-specialty policy-change history — every alert with a link to its government source document, as a formatted PDF for compliance distribution plus a machine-readable CSV. Delivered automatically after payment. No account, no call.
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