Rubrica

CPT 23472 · Arthroplasty — Shoulder · Michigan Workers' Disability Comp Agency

Total Shoulder Arthroplasty (TSA / Reverse TSA) at Michigan Workers' Disability Comp Agency.

How Michigan Workers' Disability Comp Agency approaches CPT 23472 (Total Shoulder Arthroplasty (TSA / Reverse TSA)) for prior-authorization review: at last review on 2026-05-02, the policy covers this code with prior authorization required.

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Coverage Covered
Prior auth Prior auth required
Last reviewed 2026-05-02
Policy numberMI-WDCA-2026

Criteria summary

High-level themes from the Michigan Workers' Disability Comp Agency policy of record for CPT 23472. Verbatim policy text and per-criterion analysis are available after sign-in.

Source: MI Workers' Disability Comp Agency — utilization review

See the full Michigan Workers' Disability Comp Agency criteria.

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