CPT 23615 · Trauma — Upper Extremity · UnitedHealthcare Medicare Advantage
ORIF Proximal Humerus Fracture (Surgical Neck) at UnitedHealthcare Medicare Advantage.
How UnitedHealthcare Medicare Advantage approaches CPT 23615 (ORIF Proximal Humerus Fracture (Surgical Neck)) 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 23615. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
Source: UnitedHealthcare Medicare Advantage Medical Policy (National)
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