CPT 29826 · Arthroscopy — Shoulder · Aetna
Shoulder Arthroscopy — Subacromial Decompression / Acromioplasty at Aetna.
How Aetna approaches CPT 29826 (Shoulder Arthroscopy — Subacromial Decompression / Acromioplasty) for prior-authorization review: at last review on 2025-10-01, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2025-10-01
Policy number
CPB-ORTHO-29826Criteria summary
High-level themes from the Aetna policy of record for CPT 29826. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 12 weeks of conservative care typically required.
- Imaging concordance documentation required.
See the full Aetna criteria.
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