CPT 29826 · Arthroscopy — Shoulder · Medicare (Palmetto GBA MAC)
Shoulder Arthroscopy — Subacromial Decompression / Acromioplasty at Medicare (Palmetto GBA MAC).
How Medicare (Palmetto GBA MAC) approaches CPT 29826 (Shoulder Arthroscopy — Subacromial Decompression / Acromioplasty) for prior-authorization review: at last review on 2026-05-10, the policy covers this code without prior authorization.
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No active LCDCriteria summary
High-level themes from the Medicare (Palmetto GBA 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: CMS IOM — Reasonable and Necessary Standard; coverage per Palmetto GBA MAC local policy
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