CPT 23430 · Other Procedure · BCBS Tennessee
Biceps Tenodesis (open) at BCBS Tennessee.
How BCBS Tennessee approaches CPT 23430 (Biceps Tenodesis (open)) for prior-authorization review: at last review on 2026-01-01, the policy covers this code without prior authorization.
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Coverage
Covered
Prior auth
No prior auth
Last reviewed
2026-01-01
Policy number
BCBST MPM — Joint SurgeryCriteria summary
High-level themes from the BCBS Tennessee policy of record for CPT 23430. 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.
Source: BlueCross BlueShield of Tennessee Medical Policy Manual — Orthopedic Surgery / Joint Surgery
See the full BCBS Tennessee criteria.
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