CPT 27447 · Arthroplasty — Knee · NY State Workers' Compensation Board
Total Knee Arthroplasty (TKA) at NY State Workers' Compensation Board.
How NY State Workers' Compensation Board 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.
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ODG-NY-2026Criteria summary
High-level themes from the NY State Workers' Compensation Board policy of record for CPT 27447. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 16 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: NY WCB Medical Treatment Guidelines (Mid- and Low-Back, Knee, Shoulder, Carpal Tunnel)
See the full NY State Workers' Compensation Board criteria.
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