CPT 27447 · Other Procedure · BCBS Oklahoma
Total Knee Arthroplasty (TKA) at BCBS Oklahoma.
How BCBS Oklahoma approaches CPT 27447 (Total Knee Arthroplasty (TKA)) for prior-authorization review: at last review on 2026-01-01, the policy covers this code with prior authorization required.
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Carelon Joint Surgery 2025-11-15Criteria summary
High-level themes from the BCBS Oklahoma 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 — Joint Surgery (delegated UM for HCSC/BCBS Montana)
See the full BCBS Oklahoma criteria.
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