CPT 27486 · Other Procedure · Humana
Revision TKA — One Component at Humana.
How Humana approaches CPT 27486 (Revision TKA — One Component) for prior-authorization review: at last review on 2025-10-09, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2025-10-09
Policy number
HUM-0591-005Criteria summary
High-level themes from the Humana 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: Humana Medical Coverage Policy — Knee Arthroplasty (Revision)
See the full Humana criteria.
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