CPT 27447 · Arthroplasty — Knee · BCBS Alabama
Total Knee Arthroplasty (TKA) at BCBS Alabama.
How BCBS Alabama approaches CPT 27447 (Total Knee Arthroplasty (TKA)) for prior-authorization review: at last review on 2026-05-02, the policy covers this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
Carelon-Ortho-2026Criteria summary
High-level themes from the BCBS Alabama policy of record for CPT 27447. 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 — Orthopedic Surgery / per-plan medical policy
See the full BCBS Alabama 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 →