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

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

Medical-necessity criteria Optum generally applies

(1) MRI confirming rotator cuff tear (full-thickness or partial ≥50%); (2) Symptoms ≥6 weeks; (3) Formal PT failure ≥6 weeks; (4) Documented functional deficit; (5) Online submission through ProviderConnect for fastest decision

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 Optum 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
  • PT records
  • shoulder scores
  • ROM and strength
  • surgeon evaluation

How to submit

Source

Optum ProviderConnect enables same-day decisions for straightforward cases. Upload all documents at time of submission.

Frequently asked questions

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

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

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

(1) MRI confirming rotator cuff tear (full-thickness or partial ≥50%); (2) Symptoms ≥6 weeks; (3) Formal PT failure ≥6 weeks; (4) Documented functional deficit; (5) Online submission through ProviderConnect for fastest decision Always confirm against the current Optum policy.

How long does a Optum prior authorization take?

Optum typically decides Shoulder Arthroscopy Rotator Cuff Repair requests in about 2 days. Timeframes vary; check the payer portal.

Submitting Shoulder Arthroscopy Rotator Cuff Repair to Optum?

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 Optum 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 - SpineTotal Knee ArthroplastyVertebroplasty/Kyphoplasty

Related guides

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