CPT 29805 · Diagnostic · Horizon BCBS NJ
Shoulder Arthroscopy — Diagnostic at Horizon BCBS NJ.
How Horizon BCBS NJ approaches CPT 29805 (Shoulder Arthroscopy — Diagnostic) for prior-authorization review: at last review on 2026-05-03, the policy covers this code without prior authorization.
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Coverage
Covered
Prior auth
No prior auth
Last reviewed
2026-05-03
Criteria summary
High-level themes from the Horizon BCBS NJ policy of record for CPT 29805. 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: Horizon BCBS Medical Policy — Diagnostic Shoulder Arthroscopy (CPT 29805)
See the full Horizon BCBS NJ criteria.
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