CPT 27486 · Other Procedure · BCBS Alabama
Revision TKA — One Component at BCBS Alabama.
How BCBS Alabama approaches CPT 27486 (Revision TKA — One Component) for prior-authorization review: at last review on 2025-12-01, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2025-12-01
Criteria summary
High-level themes from the BCBS Alabama policy of record for CPT 27486. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
- Prior diagnostic procedure documentation required.
Source: BCBS Alabama Medical Policy — Joint Replacement (knee, revision)
See the full BCBS Alabama criteria.
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