CPT 23470 · Arthroplasty — Shoulder · UnitedHealthcare Medicare Advantage
Hemiarthroplasty Shoulder at UnitedHealthcare Medicare Advantage.
How UnitedHealthcare Medicare Advantage approaches CPT 23470 (Hemiarthroplasty Shoulder) for prior-authorization review: at last review on 2026-05-08, the policy covers this code with prior authorization required.
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Criteria summary
High-level themes from the UnitedHealthcare Medicare Advantage policy of record for CPT 23470. 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.
Source: UnitedHealthcare Medicare Advantage Medical Policy (National)
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