CPT 27486 · Other Procedure · UnitedHealthcare (Commercial)
Revision TKA — One Component at UnitedHealthcare (Commercial).
How UnitedHealthcare (Commercial) approaches CPT 27486 (Revision TKA — One Component) for prior-authorization review: at last review on 2025-10-01, the policy covers this code with prior authorization required.
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UHC-MP-TJA-KNEECriteria summary
High-level themes from the UnitedHealthcare (Commercial) 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: UnitedHealthcare Commercial Medical Policy — Knee Replacement Surgery (Total and Partial)
See the full UnitedHealthcare (Commercial) criteria.
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