CPT 27487 · Other Procedure · Medicare (Noridian JE MAC)
Revision TKA — Femur and Tibia (Both Components) at Medicare (Noridian JE MAC).
How Medicare (Noridian JE MAC) 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 without prior authorization.
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Criteria summary
High-level themes from the Medicare (Noridian JE MAC) 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: No active Noridian LCD specific to 27487; reasonable & necessary standard.
See the full Medicare (Noridian JE MAC) criteria.
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