CPT 29827 · Arthroscopy — Shoulder · Humana Medicare Advantage
Shoulder Arthroscopy — Rotator Cuff Repair at Humana Medicare Advantage.
How Humana Medicare Advantage approaches CPT 29827 (Shoulder Arthroscopy — Rotator Cuff Repair) for prior-authorization review: at last review on 2026-05-02, the policy covers this code with prior authorization required.
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Humana-MA-29827-2026Criteria summary
High-level themes from the Humana Medicare Advantage policy of record for CPT 29827. 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: Humana Medical Coverage Policy — Surgical Procedures (MA)
See the full Humana Medicare Advantage criteria.
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