CPT 27486 · Other Procedure · Excellus BCBS
Revision TKA — One Component at Excellus BCBS.
How Excellus BCBS approaches CPT 27486 (Revision TKA — One Component) for prior-authorization review: at last review on 2026-05-03, the policy covers this code with prior authorization required.
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Criteria summary
High-level themes from the Excellus BCBS policy of record for CPT 27486. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
Source: Excellus BCBS Medical Policy — Revision Total Knee Arthroplasty — One Component (CPT 27486)
See the full Excellus BCBS criteria.
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