Rubrica

CPT 27487 · Other Procedure · Excellus BCBS

Revision TKA — Femur and Tibia (Both Components) at Excellus BCBS.

How Excellus BCBS approaches CPT 27487 (Revision TKA — Femur and Tibia (Both Components)) for prior-authorization review: at last review on 2026-05-03, the policy covers this code with prior authorization required.

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Coverage Covered
Prior auth Prior auth required
Last reviewed 2026-05-03

Criteria summary

High-level themes from the Excellus BCBS policy of record for CPT 27487. Verbatim policy text and per-criterion analysis are available after sign-in.

Source: Excellus BCBS Medical Policy — Revision Total Knee Arthroplasty — Femoral and Entire Tibial Component (CPT 27487)

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