Prior Authorization Lookup
Enter a CPT code or procedure and pick the payer — we’ll tell you if prior auth is required.





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Sample lookup
Source-backedUnitedHealthcare
CPT 27447 · Total knee replacement
Prior authorization required
Documentation required
- Weight-bearing knee X-rays (AP & lateral)
- Physical therapy records (12+ weeks)
- Failed conservative treatment (NSAIDs, injections, bracing)
- HbA1c if diabetic (< 8%)
- BMI documentation
- Orthopedic consultation notes
Phone 1-866-842-3278Fax 1-801-994-1349
Source-backed · cited to the payer's own policy
UnitedHealthcare prior-auth clinical policyVerified Jan 2026
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