CPT 23615 · Trauma / Fracture · Medicare (Noridian JF MAC)
ORIF Proximal Humerus Fracture (Surgical Neck) at Medicare (Noridian JF MAC).
How Medicare (Noridian JF MAC) approaches CPT 23615 (ORIF Proximal Humerus Fracture (Surgical Neck)) for prior-authorization review: at last review on 2026-05-02, the policy covers this code without prior authorization.
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Criteria summary
High-level themes from the Medicare (Noridian JF MAC) policy of record for CPT 23615. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
Source: Medicare (Noridian JF MAC) LCD / Local Coverage Article
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