12 commercial payer policies list 27438. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
Free account. Policy pages stay open to everyone.
12 policies from 9 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 27438 |
|---|---|---|
| Joint Surgery | Nov 15, 2025 | Covered |
| Joint Surgery | Nov 17, 2024 | Covered |
| Level of Care for Surgical Procedures | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 27438 |
|---|---|---|
| Cigna Commercial Joint Surgery Code List |
| Mar 7, 2026 |
| Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
|---|
| Policy | Effective | Status of 27438 |
|---|---|---|
| Cigna Commercial & Medicare Advantage Joint Surgery Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 27438 |
|---|---|---|
| EOCCO Joint Surgery Code List | May 1, 2026 | Prior auth required |
| Policy | Effective | Status of 27438 |
|---|---|---|
| Knee Arthroplasty | Mar 16, 2026 | Covered |
| Policy | Effective | Status of 27438 |
|---|---|---|
| Surgery of the Knee | Sep 10, 2026 | Covered |
| Policy | Effective | Status of 27438 |
|---|---|---|
| The Health Plan MSK Joint Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 27438 |
|---|---|---|
| Surgery of the Knee | Sep 10, 2026 | Covered |
| Policy | Effective | Status of 27438 |
|---|---|---|
| Surgery of the Knee | Sep 10, 2026 | Covered |