CPT 29888 · Arthroscopy — Knee · Tricare
Knee Arthroscopy — ACL Reconstruction at Tricare.
How Tricare 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 number
TPM-Ch4-2026Criteria summary
High-level themes from the Tricare policy of record for CPT 29888. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
Source: TRICARE Policy Manual Chapter 4 — Surgery; Humana Military / HNFS regional UM
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