Policy library / 27425 Commercial payer policies listing 27425 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 27425, with the code’s status in each Policy Effective Status of 27425 Joint Surgery Clinical Guideline · CARELON-JOINT-SURGERY Nov 15, 2025 Covered Joint Surgery Clinical Guideline · CARELON-JOINT-SURGERY-SUPERSEDED Nov 17, 2024 Covered
EOCCO / Moda Health policies listing 27425, with the code’s status in each Policy Effective Status of 27425 EOCCO Joint Surgery Code List PayerPolicy · EVICORE-HPLAN-EOCCO-E3760131CC06 May 1, 2026 Prior auth required
The Health Plan policies listing 27425, with the code’s status in each Policy Effective Status of 27425 The Health Plan MSK Joint Code List PayerPolicy · EVICORE-HPLAN-THE_HEALTH_PLAN-9B57580E1B4F Jan 1, 2026 Prior auth required