Priority Health Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair prior authorization requirements (2026)
What Priority Health generally requires to approve Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair (CPT 29914, 29915, 29916, 29860, 29861, 29862, 29863), for commercial plans. Yes. Priority Health generally requires prior authorization for Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair (CPT 29914, 29915, 29916, 29860, 29861, 29862, 29863).
Medical-necessity criteria Priority Health generally applies
Prior authorization via TurningPoint MSK program (Orthopedic — femoroacetabular arthroscopy). Medical-necessity criteria in the TurningPoint Provider Guide. [NEEDS CLINICAL SPOT-CHECK]
How to submit
- Method: prism -> TurningPoint (myturningpoint-healthcare.com)
- Portal: TurningPoint Healthcare Solutions
Sources & verification
- BindingSource — TurningPoint MSK Program — Provider Guide scope (Spinal surgical procedures incl. laminectomy/discectomy, disc replacement, kyphoplasty/vertebroplasty; femoroacetabular hip arthroscopy; knee arthroscopy/meniscal repair) via 08-08-2024 auth-programs notice · effective 2024-09-01.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 Priority Health require prior authorization for Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair?
Yes. Priority Health generally requires prior authorization for Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair (CPT 29914, 29915, 29916, 29860, 29861, 29862, 29863).
What does Priority Health require to approve Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair?
Prior authorization via TurningPoint MSK program (Orthopedic — femoroacetabular arthroscopy). Medical-necessity criteria in the TurningPoint Provider Guide. [NEEDS CLINICAL SPOT-CHECK] Always confirm against the current Priority Health policy.
How long does a Priority Health prior authorization take?
Turnaround varies by plan and submission method. Check the Priority Health portal for current timeframes.
Submitting Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair to Priority Health?
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.