CPT 20931 · Bone Graft · Humana Medicare Advantage
Allograft — Structural at Humana Medicare Advantage.
How Humana Medicare Advantage approaches CPT 20931 (Allograft — Structural) for prior-authorization review: at last review on 2026-05-08, the policy covers this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-08
Criteria summary
High-level themes from the Humana Medicare Advantage policy of record for CPT 20931. 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 Humana Medicare Advantage criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →