Shoulder surgery
Authorization requirements
Is authorization required? |
How do I get pre-authorization? |
|
Yes |
L&I (State fund): |
Self-insured: |
Related information on coverage and treatment
L&I has prepared coverage criteria for shoulder surgeries.
- Medical treatment guidelines:
Criteria for shoulder surgery (Introduced March 2002).
Billing and payment policies
Related rules
- Treatment requiring authorization. WAC 296-20-01002.
- Utilization review – Generally. WAC 284-43-410.
- Medical coverage decisions. WAC 296-20-02700-02850.
