CPT 20527 · Procedure (templated) · Medicare (NGS MAC)
Injection — Dupuytren Cord (Xiaflex) at Medicare (NGS MAC).
How Medicare (NGS MAC) approaches CPT 20527 (Injection — Dupuytren Cord (Xiaflex)) for prior-authorization review: at last review on 2026-05-02, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-02
Criteria summary
High-level themes from the Medicare (NGS MAC) policy of record for CPT 20527. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 6 weeks of conservative care typically required.
- Imaging concordance documentation required.
See the full Medicare (NGS MAC) criteria.
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