Prior Auth Required

27137 - The following services will now be 27437, 27438, 27440,

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceThe following services will now be 27437, 27438, 27440,
Procedure / Service Description

Category Subcategory/notes Codes and comments - Orthopedic surgeries: hip, knee 23472, 23473, 23474, and shoulder arthroplasty 27125, 27130, 27132, 27134, 27137, 27138, The following services will now be 27437, 27438, 27440, managed by Cohere Health®. 27441, 27442, 27443,

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.