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

What UnitedHealthcare generally requires to approve Shoulder Arthroscopy Rotator Cuff Repair (CPT 29827), for Commercial plans. Yes. UnitedHealthcare generally requires prior authorization for Shoulder Arthroscopy Rotator Cuff Repair (CPT 29827).

General reference compiled from public sources, last verified 2026-06-13. This is not a coverage determination or medical advice. Always confirm current requirements with UnitedHealthcare before submitting.

Medical-necessity criteria UnitedHealthcare generally applies

UnitedHealthcare reviews shoulder arthroscopy and rotator cuff repair against InterQual CP: Procedures (Arthroscopy or Arthroscopically Assisted Surgery, Shoulder), policy 2026T0556FF (Surgery of the Shoulder). Subacromial balloon spacers for rotator cuff tears are unproven and not medically necessary. Specific thresholds (symptomatic rotator cuff tear, failed conservative care) are adjudicated via InterQual.

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 UnitedHealthcare 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

Source

Summarized from UnitedHealthcare Commercial Medical Policy Surgery of the Shoulder (2026T0556FF, eff 2026-01-01). Source: View the source policy. Last verified 2026-06-13.

Frequently asked questions

Does UnitedHealthcare require prior authorization for Shoulder Arthroscopy Rotator Cuff Repair?

Yes. UnitedHealthcare generally requires prior authorization for Shoulder Arthroscopy Rotator Cuff Repair (CPT 29827).

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

UnitedHealthcare reviews shoulder arthroscopy and rotator cuff repair against InterQual CP: Procedures (Arthroscopy or Arthroscopically Assisted Surgery, Shoulder), policy 2026T0556FF (Surgery of the Shoulder). Subacromial balloon spacers for rotator cuff tears are unproven and not medically necessary. Specific thresholds (symptomatic rotator cuff tear, failed conservative care) are adjudicated vi… 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 Shoulder Arthroscopy Rotator Cuff 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.

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Other UnitedHealthcare prior authorization requirements

ACL ReconstructionAnterior Cervical Discectomy and FusionArthroplasty (Joint Replacement)Arthroscopic Hip Surgery for Impingement Syndrome Including Labral RepairArthroscopyBariatric SurgeryBariatric Surgery with Obesity DiagnosisBody LengtheningBone Growth Stimulator - Electronic Stimulation or UltrasoundBone Marrow/Stem Cell ProceduresBreast Reconstruction (Non-Mastectomy)Cancer Supportive Care - Antiemetic Drugs

Related guides

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