Carelon Arthroplasty (Joint Replacement) prior authorization requirements (2026)

What Carelon generally requires to approve Arthroplasty (Joint Replacement) (CPT 23470, 23472, 23473, 23474, 24360, 24361, 24362, 24363, 24365, 24366, 24370, 24371, 25441, 25442, 25443, 25444, 25445, 25446, 25449, 26530, 26531, 26535, 26536, 27120, 27125, 27130, 27132, 27134, 27137, 27138, 27437, 27438, 27440, 27441, 27442, 27443, 27445, 27446, 27447, 27486, 27487, 27702, 27091, 27488, S2118), for Commercial plans. Yes. Carelon generally requires prior authorization for Arthroplasty (Joint Replacement) (CPT 23470, 23472, 23473, 23474, 24360, 24361, 24362, 24363, 24365, 24366, 24370, 24371, 25441, 25442, 25443, 25444, 25445, 25446, 25449, 26530, 26531, 26535, 26536, 27120, 27125, 27130, 27132, 27134, 27137, 27138, 27437, 27438, 27440, 27441, 27442, 27443, 27445, 27446, 27447, 27486, 27487, 27702, 27091, 27488, S2118).

General reference compiled from public sources. This is not a coverage determination or medical advice. Always confirm current requirements with Carelon before submitting.

Medical-necessity criteria Carelon generally applies

For all joint arthroplasties: (1) Severe joint disease confirmed on imaging (arthritis Grades 3–4, AVN with collapse, post-traumatic destruction); (2) Conservative management failure over ≥3 months (PT, NSAIDs, activity modification, corticosteroid injection); (3) Documented significant functional impairment with validated outcome scores; (4) No contraindications to surgery (active infection, significant medical comorbidities without clearance); (5) Patient understands and accepts post-operative rehabilitation requirements

Diagnoses that commonly support medical necessity

ICD-10-CM diagnoses frequently associated with medical necessity for Arthroplasty (Joint Replacement). Confirm the covered diagnosis list against the current Carelon policy.

M16.0Bilateral primary osteoarthritis of hipM17.0Bilateral primary osteoarthritis of kneeM19.90Unspecified osteoarthritis, unspecified site

Commonly required documentation

  • Imaging of affected joint
  • conservative care documentation
  • validated functional outcome scores
  • surgeon evaluation with operative plan
  • medical clearance if comorbidities present

How to submit

Source

Carelon manages joint replacement PAs for many Anthem and BCBS plans. Validated outcome scores are required — collect KOOS, HOOS, ASES, or DASH depending on joint. Call Carelon at 1-866-569-6099 to confirm plan-specific requirements.

Frequently asked questions

Does Carelon require prior authorization for Arthroplasty (Joint Replacement)?

Yes. Carelon generally requires prior authorization for Arthroplasty (Joint Replacement) (CPT 23470, 23472, 23473, 23474, 24360, 24361, 24362, 24363, 24365, 24366, 24370, 24371, 25441, 25442, 25443, 25444, 25445, 25446, 25449, 26530, 26531, 26535, 26536, 27120, 27125, 27130, 27132, 27134, 27137, 27138, 27437, 27438, 27440, 27441, 27442, 27443, 27445, 27446, 27447, 27486, 27487, 27702, 27091, 27488, S2118).

What does Carelon require to approve Arthroplasty (Joint Replacement)?

For all joint arthroplasties: (1) Severe joint disease confirmed on imaging (arthritis Grades 3–4, AVN with collapse, post-traumatic destruction); (2) Conservative management failure over ≥3 months (PT, NSAIDs, activity modification, corticosteroid injection); (3) Documented significant functional impairment with validated outcome scores; (4) No contraindications to surgery (active infection, sign… Always confirm against the current Carelon policy.

How long does a Carelon prior authorization take?

Carelon typically decides Arthroplasty (Joint Replacement) requests in about 3 days. Timeframes vary; check the payer portal.

Submitting Arthroplasty (Joint Replacement) to Carelon?

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.

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Other Carelon prior authorization requirements

Anterior Cervical Discectomy and FusionArthroscopic Hip Surgery for Impingement Syndrome Including Labral RepairCervical, Lumbar and Thoracic Laminectomy and/or Laminotomy ProceduresDorsal Column (Lumbar) Neurostimulators: Trial or ImplantationKnee ArthroscopyKnee MeniscectomyLumbar Spinal FusionPain Injections - SpineShoulder Arthroplasty Including Revision ProceduresShoulder Arthroscopy Rotator Cuff RepairSpinal Fusion SurgeryTotal Knee Arthroplasty

Related guides

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