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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Source-backed

UnitedHealthcare

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 policy

Verified Jan 2026

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