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

What TRICARE generally requires to approve Shoulder Arthroscopy Rotator Cuff Repair (CPT 29827), for tricare plans. Based on the cited policy, TRICARE does not generally require prior authorization for Shoulder Arthroscopy Rotator Cuff Repair (CPT 29827). Confirm with TRICARE, 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 TRICARE before submitting.

Medical-necessity criteria TRICARE generally applies

No mandatory prior authorization; TRICARE Prime requires a referral. Covered per TPM Section 6.1 (note: microfracture for the shoulder is "unproven").

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 TRICARE 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 — TRICARE Policy Manual 6010.60-M, Ch 4 Sec 6.1 (Musculoskeletal) · effective 2022-05-24.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 TRICARE require prior authorization for Shoulder Arthroscopy Rotator Cuff Repair?

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

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

No mandatory prior authorization; TRICARE Prime requires a referral. Covered per TPM Section 6.1 (note: microfracture for the shoulder is "unproven"). Always confirm against the current TRICARE policy.

How long does a TRICARE prior authorization take?

Turnaround varies by plan and submission method. Check the TRICARE portal for current timeframes.

Submitting Shoulder Arthroscopy Rotator Cuff Repair to TRICARE?

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 TRICARE prior authorization requirements

Anterior Cervical Discectomy and FusionArthroplasty (Joint Replacement)Dorsal Column (Lumbar) Neurostimulators: Trial or ImplantationKnee ArthroscopyPain Management ProceduresSpinal Fusion Surgery

Related guides

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