CPT 24363 · Other Procedure · BCBS Oklahoma
Total Elbow Arthroplasty at BCBS Oklahoma.
How BCBS Oklahoma approaches CPT 24363 (Total Elbow Arthroplasty) for prior-authorization review: at last review on 2026-01-01, the policy covers this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-01-01
Policy number
Carelon Joint Surgery 2025-11-15Criteria summary
High-level themes from the BCBS Oklahoma policy of record for CPT 24363. 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: Carelon Clinical Appropriateness Guidelines — Joint Surgery (Elbow Arthroplasty)
See the full BCBS Oklahoma criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →