NY State Workers' Comp Shoulder Arthroscopy Rotator Cuff Repair prior authorization requirements (2026)

What NY State Workers' Comp generally requires to approve Shoulder Arthroscopy Rotator Cuff Repair (CPT 29827), for workers_comp plans. Based on the cited policy, NY State Workers' Comp does not generally require prior authorization for Shoulder Arthroscopy Rotator Cuff Repair (CPT 29827). Confirm with NY State Workers' Comp, as this can vary by plan.

General reference compiled from public sources, last verified 2026-06-25. This is not a coverage determination or medical advice. Always confirm current requirements with NY State Workers' Comp before submitting.

Medical-necessity criteria NY State Workers' Comp generally applies

Authorized when consistent with the NY WC Shoulder Injury MTG (Table 3 rotator cuff repair: full-thickness tear with pain/weakness, imaging-confirmed, conservative care done if recommended); file an MTG Variance via OnBoard if out-of-guideline.

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 NY State Workers' Comp 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

How to submit

Sources & verification

  • BindingSource — NY WCB Shoulder Injury Medical Treatment Guidelines · effective 2022-05-02.View

Binding = the payer's own policy. Proxy = a public, evidence-based clinical guideline the payer mirrors. Portal-only = the binding criteria are confirmed in the administrator's portal. Always confirm against the payer for the member's specific plan. Last verified 2026-06-25.

Frequently asked questions

Does NY State Workers' Comp require prior authorization for Shoulder Arthroscopy Rotator Cuff Repair?

Based on the cited policy, NY State Workers' Comp does not generally require prior authorization for Shoulder Arthroscopy Rotator Cuff Repair (CPT 29827). Confirm with NY State Workers' Comp, as this can vary by plan.

What does NY State Workers' Comp require to approve Shoulder Arthroscopy Rotator Cuff Repair?

Authorized when consistent with the NY WC Shoulder Injury MTG (Table 3 rotator cuff repair: full-thickness tear with pain/weakness, imaging-confirmed, conservative care done if recommended); file an MTG Variance via OnBoard if out-of-guideline. Always confirm against the current NY State Workers' Comp policy.

How long does a NY State Workers' Comp prior authorization take?

Turnaround varies by plan and submission method. Check the NY State Workers' Comp portal for current timeframes.

Submitting Shoulder Arthroscopy Rotator Cuff Repair to NY State Workers' Comp?

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 NY State Workers' Comp prior authorization requirements

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