Policy library / 23020 Commercial payer policies listing 23020 7 policies from 5 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Carelon Medical Benefits Management policies listing 23020, with the code’s status in each Policy Effective Status of 23020 Joint Surgery Clinical Guideline · CARELON-JOINT-SURGERY Nov 15, 2025 Covered Joint Surgery Clinical Guideline · CARELON-JOINT-SURGERY-SUPERSEDED Nov 17, 2024 Covered
Regence BCBS policies listing 23020, with the code’s status in each Policy Effective Status of 23020 Shoulder Surgeries PayerPolicy · REGENCE-SUR228 Dec 1, 2025 Covered
The Health Plan policies listing 23020, with the code’s status in each Policy Effective Status of 23020 The Health Plan MSK Joint Code List PayerPolicy · EVICORE-HPLAN-THE_HEALTH_PLAN-9B57580E1B4F Jan 1, 2026 Prior auth required