Prior Auth Required

23420 - Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceReconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)
Procedure / Service Description

Insertion of interlaminar/interspinous process stabilization/distraction device, without open - 23412 Repair, Ruptured Musculotendinous Cuff; Chronic 23415 Coracoacromial Ligament Release, W/Wo Acromioplasty 23420 Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty) 23430 Tenodesis, Long Tendon, Biceps 23440 Resection/Transplantation, Long Tendon, Biceps

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.