CPT 29826 · Arthroscopy — Shoulder · Medicare (Novitas MAC)
Shoulder Arthroscopy — Subacromial Decompression / Acromioplasty at Medicare (Novitas MAC).
How Medicare (Novitas MAC) approaches CPT 29826 (Shoulder Arthroscopy — Subacromial Decompression / Acromioplasty) for prior-authorization review: at last review on 2025-01-01, the policy covers this code without prior authorization.
Free with practitioner sign-in — magic-link email auth, no credit card.
No active LCDCriteria summary
High-level themes from the Medicare (Novitas MAC) 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.
Source: Medicare (Novitas) medical policy — Arthroscopy — Shoulder
See the full Medicare (Novitas MAC) 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 →