CPT 27279, in plain terms, covers Arthroscopic surgery to repair or address damage inside a shoulder joint through small camera-guided incisions. CPT 27279 is referenced in 4 tracked payer policy changes from Humana, Blue Cross Blue Shield of Rhode Island, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 27279 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.
Official descriptor: CPT 27279 on AAPC
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