Prior Auth Required

23412 - Repair, Ruptured Musculotendinous Cuff; Chronic

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceRepair, Ruptured Musculotendinous Cuff; Chronic
Procedure / Service Description

Insertion of interlaminar/interspinous process stabilization/distraction device, without open - 23130 Acromioplasty/Acromionectomy, Partial, W/Wo Coracoacromial Ligament Release 23410 Repair, Ruptured Musculotendinous Cuff, Open; Acute 23412 Repair, Ruptured Musculotendinous Cuff; Chronic 23415 Coracoacromial Ligament Release, W/Wo Acromioplasty 23420 Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.