CPT 29827 · Arthroscopy — Shoulder · Premera Blue Cross
Shoulder Arthroscopy — Rotator Cuff Repair at Premera Blue Cross.
How Premera Blue Cross 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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Carelon-Ortho-2026Criteria summary
High-level themes from the Premera Blue Cross 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: Carelon Clinical Appropriateness Guidelines — Orthopedic Surgery / per-plan medical policy
See the full Premera Blue Cross criteria.
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