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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MI-WDCA-2026Criteria 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.
- At least 16 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: MI Workers' Disability Comp Agency — utilization review
See the full Michigan Workers' Disability Comp Agency criteria.
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