Humana Shoulder Arthroscopy Rotator Cuff Repair prior authorization requirements (2026)

What Humana generally requires to approve Shoulder Arthroscopy Rotator Cuff Repair (CPT 29827), for Commercial plans. Yes. Humana 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 Humana before submitting.

Medical-necessity criteria Humana generally applies

Patient must meet ALL: (1) MRI confirming rotator cuff tear (full-thickness or partial ≥50% tendon width); (2) Symptoms ≥6 weeks with documented pain and functional deficit; (3) Failure of ≥6 weeks formal PT with rotator cuff protocol and NSAID trial; (4) Documented ROM limitation and weakness on exam; (5) Cohere Health pathway completed if plan-routed; (6) Acute traumatic full-thickness tears may bypass conservative care requirement with ER/urgent care documentation

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 Humana 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 report with tear characterization
  • PT records ≥6 weeks
  • shoulder functional scores (ASES, QuickDASH)
  • ROM and strength measurements
  • surgeon evaluation
  • Cohere authorization if applicable

How to submit

Source

Cohere Health routing increasingly common on Humana commercial plans for MSK. For Medicare Advantage members: functional documentation requirements are stricter — include ADL limitations.

Frequently asked questions

Does Humana require prior authorization for Shoulder Arthroscopy Rotator Cuff Repair?

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

What does Humana require to approve Shoulder Arthroscopy Rotator Cuff Repair?

Patient must meet ALL: (1) MRI confirming rotator cuff tear (full-thickness or partial ≥50% tendon width); (2) Symptoms ≥6 weeks with documented pain and functional deficit; (3) Failure of ≥6 weeks formal PT with rotator cuff protocol and NSAID trial; (4) Documented ROM limitation and weakness on exam; (5) Cohere Health pathway completed if plan-routed; (6) Acute traumatic full-thickness tears may… Always confirm against the current Humana policy.

How long does a Humana prior authorization take?

Humana 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 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 Arthroplasty Including Revision ProceduresTotal 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