UnitedHealthcare Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair prior authorization requirements (2026)
What UnitedHealthcare 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. UnitedHealthcare 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 UnitedHealthcare generally applies
UnitedHealthcare reviews hip arthroscopy and surgical treatment of femoroacetabular impingement (FAI) syndrome against InterQual CP: Procedures (Arthroscopy, Surgical, Hip), policy 2026T0503JJ (Surgery of the Hip). Hip arthroscopy/FAI surgery is proven and medically necessary in certain circumstances; specific thresholds (failed conservative care, imaging-confirmed FAI/labral pathology) are adjudicated via InterQual.
Source
Summarized from UnitedHealthcare Commercial and Individual Exchange Medical Policy Surgery of the Hip (2026T0503JJ, eff 2026-03-01). Source: View the source policy. Last verified 2026-06-13.
Frequently asked questions
Does UnitedHealthcare require prior authorization for Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair?
Yes. UnitedHealthcare generally requires prior authorization for Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair (CPT 29914, 29915, 29916, 29860, 29861, 29862, 29863).
What does UnitedHealthcare require to approve Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair?
UnitedHealthcare reviews hip arthroscopy and surgical treatment of femoroacetabular impingement (FAI) syndrome against InterQual CP: Procedures (Arthroscopy, Surgical, Hip), policy 2026T0503JJ (Surgery of the Hip). Hip arthroscopy/FAI surgery is proven and medically necessary in certain circumstances; specific thresholds (failed conservative care, imaging-confirmed FAI/labral pathology) are adjudi… Always confirm against the current UnitedHealthcare policy.
How long does a UnitedHealthcare prior authorization take?
Turnaround varies by plan and submission method. Check the UnitedHealthcare portal for current timeframes.
Submitting Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair to UnitedHealthcare?
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.