CPT 27814 · Trauma / Fracture · Medicare (WPS MAC)
ORIF Lateral Malleolus Fracture at Medicare (WPS MAC).
How Medicare (WPS MAC) approaches CPT 27814 (ORIF Lateral Malleolus Fracture) for prior-authorization review: at last review on 2026-05-02, the policy covers this code without prior authorization.
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Coverage
Covered
Prior auth
No prior auth
Last reviewed
2026-05-02
Criteria summary
High-level themes from the Medicare (WPS MAC) policy of record for CPT 27814. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
See the full Medicare (WPS MAC) criteria.
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