CPT 27487 · Arthroplasty — Knee · BCBS Michigan
Revision TKA — Femur and Tibia (Both Components) at BCBS Michigan.
How BCBS Michigan approaches CPT 27487 (Revision TKA — Femur and Tibia (Both Components)) for prior-authorization review: at last review on 2026-05-02, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-02
Policy number
BCBSM-MSK-TKA-2026Criteria summary
High-level themes from the BCBS Michigan policy of record for CPT 27487. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
- Prior diagnostic procedure documentation required.
Source: BCBS Michigan Medical Policy — Total Joint Arthroplasty
See the full BCBS Michigan criteria.
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