CPT 29874 · Arthroscopy · Medicare (WPS MAC)
Knee Arthroscopy — Loose Body Removal at Medicare (WPS MAC).
How Medicare (WPS MAC) approaches CPT 29874 (Knee Arthroscopy — Loose Body Removal) for prior-authorization review: at last review on 2026-05-02, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-02
Criteria summary
High-level themes from the Medicare (WPS MAC) policy of record for CPT 29874. 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.
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