UnitedHealthcare Arthroscopy prior authorization requirements (2026)
What UnitedHealthcare generally requires to approve Arthroscopy (CPT 29805, 29806, 29807), for Commercial plans. Yes. UnitedHealthcare generally requires prior authorization for Arthroscopy (CPT 29805, 29806, 29807).
Medical-necessity criteria UnitedHealthcare generally applies
Prior authorization required
Commonly required documentation
- Submit via UHCprovider.com Prior Authorization and Notification tool
How to submit
- Method: portal
- Portal: Evicore
- Typical turnaround: about 3 days
Source
Covers shoulder, elbow, wrist, knee, ankle arthroscopic procedures Last verified 2026-05-06.
Frequently asked questions
Does UnitedHealthcare require prior authorization for Arthroscopy?
Yes. UnitedHealthcare generally requires prior authorization for Arthroscopy (CPT 29805, 29806, 29807).
What does UnitedHealthcare require to approve Arthroscopy?
Prior authorization required Always confirm against the current UnitedHealthcare policy.
How long does a UnitedHealthcare prior authorization take?
UnitedHealthcare typically decides Arthroscopy requests in about 3 days. Timeframes vary; check the payer portal.
Submitting Arthroscopy 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.