CPT 27486 · Other Procedure · Medicare (Noridian JF MAC)
Revision TKA — One Component at Medicare (Noridian JF MAC).
How Medicare (Noridian JF MAC) approaches CPT 27486 (Revision TKA — One Component) for prior-authorization review: at last review on 2026-05-03, the policy covers this code without prior authorization.
Free with practitioner sign-in — magic-link email auth, no credit card.
Criteria summary
High-level themes from the Medicare (Noridian JF MAC) 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: No active Noridian LCD specific to 27486; reasonable & necessary standard.
See the full Medicare (Noridian JF MAC) criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →