CPT 23430 · Other Procedure · Medicare (Noridian JE MAC)
Tenodesis of Long Tendon of Biceps at Medicare (Noridian JE MAC).
How Medicare (Noridian JE MAC) 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 without prior authorization.
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Coverage
Covered
Prior auth
No prior auth
Last reviewed
2026-05-03
Criteria summary
High-level themes from the Medicare (Noridian JE MAC) policy of record for CPT 23430. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 12 weeks of conservative care typically required.
- Imaging concordance documentation required.
See the full Medicare (Noridian JE MAC) criteria.
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