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  • UnitedHealthcare Medical Policy Surgery of the Knee - UHCprovider. com
    For medical necessity clinical coverage criteria, refer to the InterQual® CP: Procedures: Click here to view the InterQual® criteria Benefit coverage for health services is determined by the member specific benefit plan document and applicable laws that may require coverage for a specific service
  • LCD - Total Knee Arthroplasty (L36575) - Centers for Medicare . . .
    The LCD is revised to remove CPT HCPCS codes in the Keyword Section of the LCD At this time 21st Century Cures Act will apply to new and revised LCDs that restrict coverage which requires comment and notice
  • Knee Replacement Surgery (Arthroplasty), Total and Partial (for . . .
    Medicare does not have a National Coverage Determination (NCD) for total knee and or partial knee replacement surgery (arthroplasty) Local Coverage Determinations (LCDs) exist; see the LCDs for Lower Extremity Major Joint Replacement (Hip and Knee), Major Joint Replacement (Hip and Knee), Total Joint Arthroplasty and Total Knee Arthroplasty
  • Procedure Price Lookup for Outpatient Services - Medicare. gov
    Original Medicare usually pays 80% of the Medicare-approved amount A part of a hospital where you get outpatient services, like an observation unit, surgery center, or pain clinic This includes facility and doctor fees You may need more than one doctor and additional costs may apply on ambulatory surgical centers
  • (2023) CPT 27447 | Description, Guidelines . . . - Coding Ahead
    CPT 27447 can be reported for services when the physician performs arthroplasty of the knee, plateau, condyle, lateral and medial compartments with or without patella resurfacing (total knee arthroplasty) The physician performs total knee replacement surgery with artificial knee parts
  • CPT® Code 27447 - Repair, Revision, and or Reconstruction . . . - AAPC
    The Current Procedural Terminology (CPT ®) code 27447 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and or Reconstruction Procedures on the Femur (Thigh Region) and Knee Joint
  • Joint Procedures – Medicare Advantage Medical Policy - UHCprovider. com
    For coverage guidelines for states territories with no LCDs LCAs, refer to the UnitedHealthcare Commercial Medical Policy titled Surgery of the Hip Medicare does not have an NCD for CPT code 27122 LCDs LCAs do not exist For coverage guidelines, refer to the InterQual® CP: Procedures, Arthrotomy, Hip Click here to view the InterQual® criteria
  • UHC Knee Hip Surgery documentation requirenments.
    Effective for services performed on Nov 1,2024 and there after, there will be new requirements for the prior authorization documentation applied to the Knee Hip surgeries These changes updates apply to self insured and fully insured plans nationwide Codes affected: 27445,27447, 27130 and 27132 Knee Surgery Documentstion requirenments:
  • CPT Code 27447 Explained – Knee Replacement Tips - Medical Bill Gurus
    CPT code 27447 is used to describe total knee arthroplasty, or knee replacement surgery Proper documentation is crucial for coverage and reimbursement for this procedure Patient eligibility for CPT code 27447 is based on the presence of severe arthritis and failed conservative therapies





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