CPT 27654 · Procedure (templated) · Medicare (Noridian JF MAC)
Achilles Tendon Repair, Chronic with Graft at Medicare (Noridian JF MAC).
How Medicare (Noridian JF MAC) approaches CPT 27654 (Achilles Tendon Repair, Chronic with Graft) for prior-authorization review: at last review on 2026-05-02, the policy covers this code with prior authorization required.
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Criteria summary
High-level themes from the Medicare (Noridian JF MAC) policy of record for CPT 27654. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 6 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: Medicare (Noridian JF MAC) LCD / Local Coverage Article
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