CPT 23430 · Other Procedure · Horizon BCBS NJ
Tenodesis of Long Tendon of Biceps at Horizon BCBS NJ.
How Horizon BCBS NJ approaches CPT 23430 (Tenodesis of Long Tendon of Biceps) for prior-authorization review: at last review on 2026-05-03, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-03
Criteria summary
High-level themes from the Horizon BCBS NJ 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: Horizon BCBS Medical Policy — Tenodesis of Long Tendon of Biceps (CPT 23430)
See the full Horizon BCBS NJ criteria.
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