UMR Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair prior authorization requirements (2026)
What UMR generally requires to approve Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair (CPT 29914, 29915, 29916, 29860, 29861, 29862, 29863), for commercial plans. Prior authorization requirements vary by plan. Confirm with UMR for Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair (CPT 29914, 29915, 29916, 29860, 29861, 29862, 29863).
Medical-necessity criteria UMR generally applies
PLAN-SPECIFIC — UMR administers UHC-published medical policies, but PA applicability varies by employer plan. UHC commercial policy generally addresses arthroscopic hip (FAI/labral) medical necessity; confirm per-member via umr.com PA tool. [NEEDS CLINICAL SPOT-CHECK]
How to submit
- Method: UMR provider portal (per-member PA tool)
- Portal: UMR
Sources & verification
- BindingSource — UMR Medical & Drug Policies (UHC-published) + UMR per-member Prior Authorization tool · effective 2025-11-01.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 UMR require prior authorization for Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair?
Prior authorization requirements vary by plan. Confirm with UMR for Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair (CPT 29914, 29915, 29916, 29860, 29861, 29862, 29863).
What does UMR require to approve Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair?
PLAN-SPECIFIC — UMR administers UHC-published medical policies, but PA applicability varies by employer plan. UHC commercial policy generally addresses arthroscopic hip (FAI/labral) medical necessity; confirm per-member via umr.com PA tool. [NEEDS CLINICAL SPOT-CHECK] Always confirm against the current UMR policy.
How long does a UMR prior authorization take?
Turnaround varies by plan and submission method. Check the UMR portal for current timeframes.
Submitting Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair to UMR?
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.