Prior Auth Required

23472 - Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceArthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total
Procedure / Service Description

intervertebral disc space or vertebral body defect without interbody arthrodesis, each contiguous defect (List - 22899 Unlisted procedure, spine 23470 Arthroplasty, glenohumeral joint; hemiarthroplasty 23472 Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder)) 23473 Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component

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.