HCSC / BCBS TX-IL Shoulder Arthroscopy Rotator Cuff Repair prior authorization requirements (2026)

What HCSC / BCBS TX-IL generally requires to approve Shoulder Arthroscopy Rotator Cuff Repair (CPT 29827), for Commercial plans. Yes. HCSC / BCBS TX-IL generally requires prior authorization for Shoulder Arthroscopy Rotator Cuff Repair (CPT 29827).

General reference compiled from public sources. This is not a coverage determination or medical advice. Always confirm current requirements with HCSC / BCBS TX-IL before submitting.

Medical-necessity criteria HCSC / BCBS TX-IL generally applies

(1) MRI confirming full-thickness or partial ≥50% rotator cuff tear; (2) Symptoms ≥6 weeks; (3) Formal PT failure ≥6 weeks with rotator cuff protocol; (4) Documented functional deficit; (5) eviCore routing on many HCSC plans — verify

Diagnoses that commonly support medical necessity

ICD-10-CM diagnoses frequently associated with medical necessity for Shoulder Arthroscopy Rotator Cuff Repair. Confirm the covered diagnosis list against the current HCSC / BCBS TX-IL policy.

M75.100Unspecified rotator cuff tear or rupture, not specified as traumatic, unspecified shoulderM75.101Unspecified rotator cuff tear or rupture, not specified as traumatic, right shoulderM75.102Unspecified rotator cuff tear or rupture, not specified as traumatic, left shoulder

Commonly required documentation

  • MRI
  • PT records
  • shoulder functional scores
  • ROM and strength
  • surgeon evaluation

How to submit

Source

Confirm eviCore routing. Large retracted tears may qualify for expedited review.

Frequently asked questions

Does HCSC / BCBS TX-IL require prior authorization for Shoulder Arthroscopy Rotator Cuff Repair?

Yes. HCSC / BCBS TX-IL generally requires prior authorization for Shoulder Arthroscopy Rotator Cuff Repair (CPT 29827).

What does HCSC / BCBS TX-IL require to approve Shoulder Arthroscopy Rotator Cuff Repair?

(1) MRI confirming full-thickness or partial ≥50% rotator cuff tear; (2) Symptoms ≥6 weeks; (3) Formal PT failure ≥6 weeks with rotator cuff protocol; (4) Documented functional deficit; (5) eviCore routing on many HCSC plans — verify Always confirm against the current HCSC / BCBS TX-IL policy.

How long does a HCSC / BCBS TX-IL prior authorization take?

HCSC / BCBS TX-IL typically decides Shoulder Arthroscopy Rotator Cuff Repair requests in about 3 days. Timeframes vary; check the payer portal.

Submitting Shoulder Arthroscopy Rotator Cuff Repair to HCSC / BCBS TX-IL?

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 HCSC / BCBS TX-IL prior authorization requirements

Anterior Cervical Discectomy and FusionArthroscopic Hip Surgery for Impingement Syndrome Including Labral RepairKnee ArthroscopyLumbar Spinal FusionPain Injections - SpineTotal Knee ArthroplastyVertebroplasty/KyphoplastyViscosupplements

Related guides

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