UnitedHealthcare Total Shoulder Arthroplasty prior authorization requirements (2026)

What UnitedHealthcare generally requires to approve Total Shoulder Arthroplasty (CPT 23472), for Commercial plans. Yes. UnitedHealthcare generally requires prior authorization for Total Shoulder Arthroplasty (CPT 23472).

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 shoulder replacement against InterQual CP: Procedures (Joint Replacement, Shoulder), policy 2026T0556FF (Surgery of the Shoulder). Proven and medically necessary in certain circumstances; specific thresholds (documented glenohumeral osteoarthritis or cuff-tear arthropathy, failed non-operative care) are adjudicated via InterQual.

Diagnoses that commonly support medical necessity

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

M19.011Primary osteoarthritis, right shoulderM19.012Primary osteoarthritis, left shoulderM19.019Primary osteoarthritis, unspecified 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 Total Shoulder Arthroplasty?

Yes. UnitedHealthcare generally requires prior authorization for Total Shoulder Arthroplasty (CPT 23472).

What does UnitedHealthcare require to approve Total Shoulder Arthroplasty?

UnitedHealthcare reviews total shoulder replacement against InterQual CP: Procedures (Joint Replacement, Shoulder), policy 2026T0556FF (Surgery of the Shoulder). Proven and medically necessary in certain circumstances; specific thresholds (documented glenohumeral osteoarthritis or cuff-tear arthropathy, failed non-operative care) are adjudicated via InterQual. 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 Shoulder 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.

How Praxigen worksBook a demo

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