CPT 27487 · Other Procedure · Horizon BCBS NJ
Revision TKA — Femur and Tibia (Both Components) at Horizon BCBS NJ.
How Horizon BCBS NJ 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 Horizon BCBS NJ policy of record for CPT 27487. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
See the full Horizon BCBS NJ criteria.
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