CPT 29805 · Diagnostic · Medicare (Noridian JF MAC)
Shoulder Arthroscopy — Diagnostic at Medicare (Noridian JF MAC).
How Medicare (Noridian JF MAC) 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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Criteria summary
High-level themes from the Medicare (Noridian JF MAC) 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: No active Noridian LCD specific to 29805. NCCI bundling applies.
See the full Medicare (Noridian JF MAC) criteria.
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