CPT 27416 · Cartilage Restoration · UnitedHealthcare (Commercial)
Osteochondral Autograft Knee — Open at UnitedHealthcare (Commercial).
How UnitedHealthcare (Commercial) approaches CPT 27416 (Osteochondral Autograft Knee — Open) for prior-authorization review: at last review on 2026-05-02, the policy covers this code with prior authorization required.
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Criteria summary
High-level themes from the UnitedHealthcare (Commercial) policy of record for CPT 27416. 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: UHC Commercial Medical Policy
See the full UnitedHealthcare (Commercial) criteria.
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