CPT 27486 · Peripheral Joint/Tendon · Cigna
Revision TKA — One Component at Cigna.
How Cigna approaches CPT 27486 (Revision TKA — One Component) for prior-authorization review: at last review on 2025-08-15, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2025-08-15
Policy number
Cigna 0178 / eviCore MSKCriteria summary
High-level themes from the Cigna 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.
See the full Cigna criteria.
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