UnitedHealthcare Total Knee Arthroplasty prior authorization requirements (2026)

What UnitedHealthcare generally requires to approve Total Knee Arthroplasty (CPT 27447), for Commercial plans. Yes. UnitedHealthcare generally requires prior authorization for Total Knee Arthroplasty (CPT 27447).

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 total knee replacement (Total Joint Replacement, Knee) against InterQual CP: Procedures criteria (policy 2026T0553II, Surgery of the Knee). Medical necessity centers on documented osteoarthritis with radiographic findings (UHC accepts 3 or more moderate-to-severe among joint-space narrowing, osteophyte formation, subchondral sclerosis, subchondral cysts, bony deformity, or cartilage loss) together with disabling pain (WOMAC pain domain greater than 40) and functional disability (WOMAC function domain greater than 40), after failed non-operative management. Specific conservative-care duration and BMI thresholds are adjudicated via InterQual.

Diagnoses that commonly support medical necessity

ICD-10-CM diagnoses frequently associated with medical necessity for Total Knee Arthroplasty. Confirm the covered diagnosis list against the current UnitedHealthcare policy.

M17.0Bilateral primary osteoarthritis of kneeM17.11Unilateral primary osteoarthritis, right kneeM17.12Unilateral primary osteoarthritis, left knee

Source

Summarized from UnitedHealthcare Commercial and Individual Exchange Medical Policy Surgery of the Knee (2026T0553II, eff 2026-06-01). UHC adjudicates specific numeric thresholds via InterQual CP: Procedures. Source: View the source policy. Last verified 2026-06-13.

Frequently asked questions

Does UnitedHealthcare require prior authorization for Total Knee Arthroplasty?

Yes. UnitedHealthcare generally requires prior authorization for Total Knee Arthroplasty (CPT 27447).

What does UnitedHealthcare require to approve Total Knee Arthroplasty?

UnitedHealthcare reviews total knee replacement (Total Joint Replacement, Knee) against InterQual CP: Procedures criteria (policy 2026T0553II, Surgery of the Knee). Medical necessity centers on documented osteoarthritis with radiographic findings (UHC accepts 3 or more moderate-to-severe among joint-space narrowing, osteophyte formation, subchondral sclerosis, subchondral cysts, bony deformity, or… 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 Total Knee Arthroplasty 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