Humana Knee Arthroscopy prior authorization requirements (2026)

What Humana generally requires to approve Knee Arthroscopy (CPT 29875, 29876, 29877, 29879), for Commercial plans. Yes. Humana generally requires prior authorization for Knee Arthroscopy (CPT 29875, 29876, 29877, 29879).

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

Medical-necessity criteria Humana generally applies

Approved ONLY for: (1) Mechanically locked knee from displaced bucket-handle meniscal tear; (2) Symptomatic loose body causing mechanical limitation; (3) Septic arthritis requiring washout. NOT approved: arthroscopy for OA, degenerative meniscal tears, chondroplasty alone. Degenerative knee arthroscopy is not medically necessary per Humana clinical policy.

Diagnoses that commonly support medical necessity

ICD-10-CM diagnoses frequently associated with medical necessity for Knee Arthroscopy. Confirm the covered diagnosis list against the current Humana policy.

M23.209Derangement of unspecified meniscus due to old tear or injury, unspecified knee

Commonly required documentation

  • MRI confirming displaced or locked tear
  • clinical documentation of true mechanical locking
  • surgeon note addressing mechanical indication specifically

How to submit

Source

Strict non-coverage for degenerative knee arthroscopy. Document mechanical symptoms explicitly. OA concurrent with meniscal pathology significantly increases denial risk.

Frequently asked questions

Does Humana require prior authorization for Knee Arthroscopy?

Yes. Humana generally requires prior authorization for Knee Arthroscopy (CPT 29875, 29876, 29877, 29879).

What does Humana require to approve Knee Arthroscopy?

Approved ONLY for: (1) Mechanically locked knee from displaced bucket-handle meniscal tear; (2) Symptomatic loose body causing mechanical limitation; (3) Septic arthritis requiring washout. NOT approved: arthroscopy for OA, degenerative meniscal tears, chondroplasty alone. Degenerative knee arthroscopy is not medically necessary per Humana clinical policy. Always confirm against the current Humana policy.

How long does a Humana prior authorization take?

Humana typically decides Knee Arthroscopy requests in about 2 days. Timeframes vary; check the payer portal.

Submitting Knee Arthroscopy to Humana?

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 Humana prior authorization requirements

Anterior Cervical Discectomy and FusionArthroscopic Hip Surgery for Impingement Syndrome Including Labral RepairDorsal Column (Lumbar) Neurostimulators: Trial or ImplantationLumbar Spinal FusionPain Injections - SpineShoulder Arthroplasty Including Revision ProceduresShoulder Arthroscopy Rotator Cuff RepairTotal Knee ArthroplastyTotal Shoulder ArthroplastyViscosupplements

Related guides

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