CPT 29827 · Other Procedure · BCBS New Mexico
Shoulder Arthroscopy — Rotator Cuff Repair at BCBS New Mexico.
How BCBS New Mexico approaches CPT 29827 (Shoulder Arthroscopy — Rotator Cuff Repair) for prior-authorization review: at last review on 2026-01-01, the policy covers this code with prior authorization required.
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Carelon Small Joint Surgery 2025-11-15Criteria summary
High-level themes from the BCBS New Mexico policy of record for CPT 29827. 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: Carelon Clinical Appropriateness Guidelines — Small Joint Surgery / Shoulder
See the full BCBS New Mexico criteria.
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