CPT 27447 · Other Procedure · Medicare (Palmetto GBA MAC)
Total Knee Arthroplasty (TKA) at Medicare (Palmetto GBA MAC).
How Medicare (Palmetto GBA MAC) approaches CPT 27447 (Total Knee Arthroplasty (TKA)) for prior-authorization review: at last review on 2025-02-01, the policy covers this code without prior authorization.
Free with practitioner sign-in — magic-link email auth, no credit card.
PAL-JJJM-OPD-PACriteria summary
High-level themes from the Medicare (Palmetto GBA MAC) policy of record for CPT 27447. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
Source: Palmetto GBA (JJ/JM) — Outpatient Department Prior Authorization
See the full Medicare (Palmetto GBA MAC) 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 →