28286
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Medicare Pricing
Work RVU
4.58
Facility
$277.90
Non-Facility
$430.20
2 Active Policies
CARELON-level-of-care-for-surgical-procedures-2025-11-15 — Level of Care for Surgical Procedures
CARELON-small-joint-surgery-2025-11-15 — General Requirements and Documentation
Related Codes
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