CPT 29805 · Diagnostic · Medicare (National NCDs)
Shoulder Arthroscopy — Diagnostic at Medicare (National NCDs).
How Medicare (National NCDs) 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.
Free with practitioner sign-in — magic-link email auth, no credit card.
Criteria summary
High-level themes from the Medicare (National NCDs) policy of record for CPT 29805. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
Source: CMS Medicare Coverage Database — no NCD on file for this CPT; MAC LCD/article governs.
See the full Medicare (National NCDs) criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →