CPT 27486 · Arthroplasty — Knee · BCBS Texas
Revision TKA — One Component at BCBS Texas.
How BCBS Texas approaches CPT 27486 (Revision TKA — One Component) for prior-authorization review: at last review on 2026-05-02, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-02
Policy number
Carelon-Ortho-2026Criteria summary
High-level themes from the BCBS Texas 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: Carelon Clinical Appropriateness Guidelines — Orthopedic Surgery
See the full BCBS Texas criteria.
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