Humana Shoulder Arthroplasty Including Revision Procedures prior authorization requirements (2026)

What Humana generally requires to approve Shoulder Arthroplasty Including Revision Procedures (CPT 23470, 23472, 23473, 23474), for Commercial plans. Yes. Humana generally requires prior authorization for Shoulder Arthroplasty Including Revision Procedures (CPT 23470, 23472, 23473, 23474).

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

(1) Severe glenohumeral arthritis on X-ray with significant joint space loss; (2) Conservative care failure ≥3 months (PT, NSAIDs, ≥1 injection); (3) ASES <50 or VAS ≥7/10; (4) MRI/ultrasound for rotator cuff assessment (anatomic vs. reverse selection); (5) Intact deltoid for reverse TSA

Diagnoses that commonly support medical necessity

ICD-10-CM diagnoses frequently associated with medical necessity for Shoulder Arthroplasty Including Revision Procedures. Confirm the covered diagnosis list against the current Humana policy.

M19.019Primary osteoarthritis, unspecified shoulder

Commonly required documentation

  • Shoulder X-rays
  • MRI or ultrasound
  • ASES and DASH scores
  • conservative care records
  • surgeon evaluation with implant type rationale

How to submit

Source

Implant type (anatomic vs. reverse) must be specified. Medicare Advantage patients: documentation of functional goals required.

Frequently asked questions

Does Humana require prior authorization for Shoulder Arthroplasty Including Revision Procedures?

Yes. Humana generally requires prior authorization for Shoulder Arthroplasty Including Revision Procedures (CPT 23470, 23472, 23473, 23474).

What does Humana require to approve Shoulder Arthroplasty Including Revision Procedures?

(1) Severe glenohumeral arthritis on X-ray with significant joint space loss; (2) Conservative care failure ≥3 months (PT, NSAIDs, ≥1 injection); (3) ASES <50 or VAS ≥7/10; (4) MRI/ultrasound for rotator cuff assessment (anatomic vs. reverse selection); (5) Intact deltoid for reverse TSA Always confirm against the current Humana policy.

How long does a Humana prior authorization take?

Humana typically decides Shoulder Arthroplasty Including Revision Procedures requests in about 3 days. Timeframes vary; check the payer portal.

Submitting Shoulder Arthroplasty Including Revision Procedures 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.

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Other Humana prior authorization requirements

Anterior Cervical Discectomy and FusionArthroscopic Hip Surgery for Impingement Syndrome Including Labral RepairDorsal Column (Lumbar) Neurostimulators: Trial or ImplantationKnee ArthroscopyLumbar Spinal FusionPain Injections - SpineShoulder 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