Braven Health Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair prior authorization requirements (2026)

What Braven Health generally requires to approve Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair (CPT 29914, 29915, 29916, 29860, 29861, 29862, 29863), for medicare_advantage plans. Yes. Braven Health generally requires prior authorization for Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair (CPT 29914, 29915, 29916, 29860, 29861, 29862, 29863).

General reference compiled from public sources, last verified 2026-06-26. This is not a coverage determination or medical advice. Always confirm current requirements with Braven Health before submitting.

Medical-necessity criteria Braven Health generally applies

Prior authorization / medical-necessity determination via TurningPoint (Surgical & Implantable Device Management Program — Orthopedic Services). FAI/labral indications (imaging-confirmed impingement, failed conservative care) applied per the TurningPoint clinical policy library. [NEEDS CLINICAL SPOT-CHECK]

How to submit

Sources & verification

  • BindingSource — Surgical & Implantable Device Management Program — Orthopedic Services.View

Binding = the payer's own policy. Proxy = a public, evidence-based clinical guideline the payer mirrors. Portal-only = the binding criteria are confirmed in the administrator's portal. Always confirm against the payer for the member's specific plan. Last verified 2026-06-26.

Frequently asked questions

Does Braven Health require prior authorization for Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair?

Yes. Braven Health generally requires prior authorization for Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair (CPT 29914, 29915, 29916, 29860, 29861, 29862, 29863).

What does Braven Health require to approve Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair?

Prior authorization / medical-necessity determination via TurningPoint (Surgical & Implantable Device Management Program — Orthopedic Services). FAI/labral indications (imaging-confirmed impingement, failed conservative care) applied per the TurningPoint clinical policy library. [NEEDS CLINICAL SPOT-CHECK] Always confirm against the current Braven Health policy.

How long does a Braven Health prior authorization take?

Turnaround varies by plan and submission method. Check the Braven Health portal for current timeframes.

Submitting Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair to Braven Health?

Praxigen checks your clinical note against these criteria before you submit and drafts a policy-cited appeal if it is denied. You review and submit; nothing is sent automatically.

How Praxigen worksBook a demo

Other Braven Health prior authorization requirements

Anterior Cervical Discectomy and FusionArthroplasty (Joint Replacement)Artificial Intervertebral Disc Surgery (Cervical Spine)Artificial Intervertebral Disc Surgery (Lumbar Spine)Cervical, Lumbar and Thoracic Laminectomy and/or Laminotomy ProceduresCT Cervical Spine without contrastCT Lumbar Spine without contrastDorsal Column (Lumbar) Neurostimulators: Trial or ImplantationKnee ArthroscopyKnee MeniscectomyMRI Cervical Spine with contrastMRI Cervical Spine without and with contrast

Related guides

Why was my prior authorization denied? Top reasons and how to fix eachHow to write a prior authorization appeal that cites policy