CPT 29806 · Arthroscopy — Shoulder · UnitedHealthcare Medicare Advantage
Shoulder Arthroscopy — Capsulorrhaphy (Instability) at UnitedHealthcare Medicare Advantage.
How UnitedHealthcare Medicare Advantage approaches CPT 29806 (Shoulder Arthroscopy — Capsulorrhaphy (Instability)) for prior-authorization review: at last review on 2026-05-08, the policy covers this code with prior authorization required.
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Criteria summary
High-level themes from the UnitedHealthcare Medicare Advantage policy of record for CPT 29806. 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: UnitedHealthcare Medicare Advantage Medical Policy (National)
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