Prior Auth Required
27428 - Ligamentous Reconstruction (Augmentation), Knee; Intra-Articular, (Open)
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceLigamentous Reconstruction (Augmentation), Knee; Intra-Articular, (Open)
Procedure / Service Description
Insertion of interlaminar/interspinous process stabilization/distraction device, without open - 27425 Lateral Retinacular Release Open 27427 Ligamentous Reconstruction (Augmentation), Knee; Extra-Articular 27428 Ligamentous Reconstruction (Augmentation), Knee; Intra-Articular, (Open) 27429 Ligamentous Reconstruction (Augmentation), Knee; Intra-Articular, (Open) & Extra-Articular 27437 Arthroplasty, Patella; W/O Prosthesis
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.