Rubrica

CPT 29888 · Arthroscopy — Knee · Pennsylvania Bureau of Workers' Comp

Knee Arthroscopy — ACL Reconstruction at Pennsylvania Bureau of Workers' Comp.

How Pennsylvania Bureau of Workers' Comp approaches CPT 29888 (Knee Arthroscopy — ACL Reconstruction) 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
Policy numberPA-BWC-2026

Criteria summary

High-level themes from the Pennsylvania Bureau of Workers' Comp policy of record for CPT 29888. Verbatim policy text and per-criterion analysis are available after sign-in.

Source: PA Bureau of Workers' Comp — utilization review per Act 44

See the full Pennsylvania Bureau of Workers' Comp criteria.

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