23410
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Medicare Pricing
Work RVU
11.11
Facility
$764.88
Non-Facility
$764.88
3 Active Policies
CARELON-joint-surgery-2024-11-17-updated-2025-01-01 — Joint Surgery
CARELON-level-of-care-for-surgical-procedures-2025-11-15 — Level of Care for Surgical Procedures
REGENCE-SUR228 — Shoulder Surgeries
Related Codes
Have a follow-up question?
Ask Verity about documentation requirements, denial risks, or coverage in your state.