Rubrica

CPT 27487 · Arthroplasty — Knee · Humana

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

How Humana approaches CPT 27487 (Revision TKA — Femur and Tibia (Both Components)) for prior-authorization review: at last review on 2025-10-01, the policy covers this code with prior authorization required.

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Coverage Covered
Prior auth Prior auth required
Last reviewed 2025-10-01
Policy numberHUM-ORTHO-27487

Criteria summary

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

Source: Humana medical policy — Arthroplasty — Knee

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