Oxford Health Plans Knee Meniscectomy prior authorization requirements (2026)
What Oxford Health Plans generally requires to approve Knee Meniscectomy (CPT 29880, 29881, 29882, 29883), for commercial plans. Yes. Oxford Health Plans generally requires prior authorization for Knee Meniscectomy (CPT 29880, 29881, 29882, 29883).
Medical-necessity criteria Oxford Health Plans generally applies
Prior authorization required (knee arthroscopy 29880-29883 on the UHC/Oxford PA list; site-of-service review also applies outside MA/TX/WI). Submit via the UnitedHealthcare Provider Portal; medical necessity is adjudicated against InterQual CP: Knee Arthroscopy (proprietary — confirm specifics).
Diagnoses that commonly support medical necessity
ICD-10-CM diagnoses frequently associated with medical necessity for Knee Meniscectomy. Confirm the covered diagnosis list against the current Oxford Health Plans policy.
How to submit
- Method: UHC Provider Portal
- Portal: UnitedHealthcare Provider Portal
Sources & verification
- BindingSource — UHC Commercial/Exchange Medical Policy — Surgery of the Knee (2026T0553II) · effective 2026-06-01.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 2026-06-26.
Frequently asked questions
Does Oxford Health Plans require prior authorization for Knee Meniscectomy?
Yes. Oxford Health Plans generally requires prior authorization for Knee Meniscectomy (CPT 29880, 29881, 29882, 29883).
What does Oxford Health Plans require to approve Knee Meniscectomy?
Prior authorization required (knee arthroscopy 29880-29883 on the UHC/Oxford PA list; site-of-service review also applies outside MA/TX/WI). Submit via the UnitedHealthcare Provider Portal; medical necessity is adjudicated against InterQual CP: Knee Arthroscopy (proprietary — confirm specifics). Always confirm against the current Oxford Health Plans policy.
How long does a Oxford Health Plans prior authorization take?
Turnaround varies by plan and submission method. Check the Oxford Health Plans portal for current timeframes.
Submitting Knee Meniscectomy to Oxford Health Plans?
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.