CPT 27487 · Other Procedure · Florida Blue
Revision TKA — Femur and Tibia (Both Components) at Florida Blue.
How Florida Blue approaches CPT 27487 (Revision TKA — Femur and Tibia (Both Components)) for prior-authorization review: at last review on 2025-12-01, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2025-12-01
Policy number
MCG 02-20000-60Criteria summary
High-level themes from the Florida Blue 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: Florida Blue MCG 02-20000-60 — Knee Arthroplasty (revision)
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