CPT 27412 · Cartilage Restoration · Humana Commercial
Open Autologous Chondrocyte Implantation (ACI) at Humana Commercial.
How Humana Commercial approaches CPT 27412 (Open Autologous Chondrocyte Implantation (ACI)) 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
Criteria summary
High-level themes from the Humana Commercial policy of record for CPT 27412. 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: Humana Medical Coverage Policy
See the full Humana Commercial criteria.
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