Medicare (CMS LCD/NCD) Total Knee Arthroplasty prior authorization requirements (2026)

What Medicare (CMS LCD/NCD) generally requires to approve Total Knee Arthroplasty (CPT 27447), for Medicare plans. Yes. Medicare (CMS LCD/NCD) generally requires prior authorization for Total Knee Arthroplasty (CPT 27447).

General reference compiled from public sources, last verified 2026-06-10. This is not a coverage determination or medical advice. Always confirm current requirements with Medicare (CMS LCD/NCD) before submitting.

Medical-necessity criteria Medicare (CMS LCD/NCD) generally applies

Covered when advanced knee joint disease is documented on imaging (osteoarthritis with joint-space narrowing, deformity, or destructive disease) AND the patient has disabling pain and functional limitation that has failed at least ~3 months of conservative management (NSAIDs/analgesics, activity modification, physical therapy, and/or intra-articular injections). The record must specify the conservative treatments tried, their duration, and outcomes. Contraindicated with active local knee or systemic infection.

Diagnoses that commonly support medical necessity

ICD-10-CM diagnoses frequently associated with medical necessity for Total Knee Arthroplasty. Confirm the covered diagnosis list against the current Medicare (CMS LCD/NCD) policy.

M17.0Bilateral primary osteoarthritis of kneeM17.11Unilateral primary osteoarthritis, right kneeM17.12Unilateral primary osteoarthritis, left knee

Source

Source: CMS LCD Total Knee Arthroplasty (L36575) and Major Joint Replacement Hip/Knee (L36007/L33618). Last verified 2026-06-10.

Frequently asked questions

Does Medicare (CMS LCD/NCD) require prior authorization for Total Knee Arthroplasty?

Yes. Medicare (CMS LCD/NCD) generally requires prior authorization for Total Knee Arthroplasty (CPT 27447).

What does Medicare (CMS LCD/NCD) require to approve Total Knee Arthroplasty?

Covered when advanced knee joint disease is documented on imaging (osteoarthritis with joint-space narrowing, deformity, or destructive disease) AND the patient has disabling pain and functional limitation that has failed at least ~3 months of conservative management (NSAIDs/analgesics, activity modification, physical therapy, and/or intra-articular injections). The record must specify the conserv… Always confirm against the current Medicare (CMS LCD/NCD) policy.

How long does a Medicare (CMS LCD/NCD) prior authorization take?

Turnaround varies by plan and submission method. Check the Medicare (CMS LCD/NCD) portal for current timeframes.

Submitting Total Knee Arthroplasty to Medicare (CMS LCD/NCD)?

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 Medicare (CMS LCD/NCD) prior authorization requirements

Cervical, Lumbar and Thoracic Laminectomy and/or Laminotomy ProceduresCT Abdomen and Pelvis with contrastDiabetic Therapeutic Shoes & InsertsDorsal Column (Lumbar) Neurostimulators: Trial or ImplantationLumbar Spinal FusionMRI Brain without contrastMRI Lower Extremity Joint without contrastMRI Lumbar Spine without contrastOutpatient Physical Therapy

Related guides

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