Horizon BCBS NJ Shoulder Arthroscopy Rotator Cuff Repair prior authorization requirements (2026)

What Horizon BCBS NJ generally requires to approve Shoulder Arthroscopy Rotator Cuff Repair (CPT 29827), for EPO, PPO, BlueCard, FEP plans. Yes. Horizon BCBS NJ generally requires prior authorization for Shoulder Arthroscopy Rotator Cuff Repair (CPT 29827).

General reference compiled from public sources, last verified 2026-06-18. This is not a coverage determination or medical advice. Always confirm current requirements with Horizon BCBS NJ before submitting.

Medical-necessity criteria Horizon BCBS NJ generally applies

Symptomatic full-thickness or high-grade partial-thickness rotator cuff tear confirmed by MRI or MR arthrogram. Documented failure of ≥6 weeks conservative therapy including NSAIDs, activity modification, and supervised PT. Persistent pain and functional limitation (weakness, loss of ROM, inability to perform ADLs/work). Acute traumatic full-thickness tears in active patients may bypass conservative trial.

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 Horizon BCBS NJ 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

  • H&P, MRI/MR arthrogram report, PT notes documenting ≥6 weeks therapy, conservative treatment log, functional assessment, op plan, imaging interpretation, ICD-10 codes

How to submit

Source

PA managed by AIM Specialty Health (Carelon). Submit via AIM ProviderPortal linked through Horizon. | Vendor correction (verified 2026-06-18): Horizon delegates surgical orthopedic + spine PA to TurningPoint Healthcare Solutions (1-833-436-4083), NOT AIM/Carelon (Carelon at Horizon handles imaging/cardiology/oncology/sleep/pain). Spine-surgery PA transitioned from eviCore to TurningPoint. Source: View the source policy. Last verified 2026-06-18.

Frequently asked questions

Does Horizon BCBS NJ require prior authorization for Shoulder Arthroscopy Rotator Cuff Repair?

Yes. Horizon BCBS NJ generally requires prior authorization for Shoulder Arthroscopy Rotator Cuff Repair (CPT 29827).

What does Horizon BCBS NJ require to approve Shoulder Arthroscopy Rotator Cuff Repair?

Symptomatic full-thickness or high-grade partial-thickness rotator cuff tear confirmed by MRI or MR arthrogram. Documented failure of ≥6 weeks conservative therapy including NSAIDs, activity modification, and supervised PT. Persistent pain and functional limitation (weakness, loss of ROM, inability to perform ADLs/work). Acute traumatic full-thickness tears in active patients may bypass conservati… Always confirm against the current Horizon BCBS NJ policy.

How long does a Horizon BCBS NJ prior authorization take?

Horizon BCBS NJ typically decides Shoulder Arthroscopy Rotator Cuff Repair requests in about 5 days. Timeframes vary; check the payer portal.

Submitting Shoulder Arthroscopy Rotator Cuff Repair to Horizon BCBS NJ?

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 Horizon BCBS NJ prior authorization requirements

ACL ReconstructionAnterior Cervical Discectomy and FusionCarpal Tunnel SurgeryCervical, Lumbar and Thoracic Laminectomy and/or Laminotomy ProceduresKnee ArthroscopyKnee MeniscectomyLumbar Spinal FusionShoulder Arthroplasty Including Revision ProceduresTotal Knee ArthroplastyTotal Shoulder ArthroplastyVertebroplasty/Kyphoplasty

Related guides

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