CurrentArizona Complete HealthPolicy CC.PP.050

Payment Policy: Robotic Surgery

Defines payment criteria for procedures performed using a robotic surgical device and applies to physician, non-physician practitioners and institutional claims under the health plan.

Policy Summary

PayerArizona Complete Health

PolicyPayment Policy: Robotic Surgery

Policy CodePolicy CC.PP.050

Change TypeNo material change

Effective DateAug 1, 2017

Next Review Date

Key ActionDo not expect separate reimbursement for robotic surgical technique; code S2900 will be disallowed when billed with the primary procedure.

SourceLink

POLICY UPDATE CHANGES

No material clinical or coverage changes in this revision.

S2900 disallowedadd-on robotic technique code reimbursement status

ALLproduct scope

Physicians, NPPs, institutionalaffected provider types

8/2017policy effective month/year

Robotic Surgery Coverage Criteria

Robotic surgery coverage criteria

Covered when ALL of the following are met:

Robotic surgical technique is not separately reimbursed; S2900 will be disallowed when billed in addition to the primary surgical procedure.

Robotic approach is considered a matter of surgeon choice and is not medically necessary to ensure a successful outcome; therefore separate payment is not warranted.

Coding — Robotic Technique Add-on Code

Robotic technique add-on codeHCPCSNot Covered

S2900

Surgical Techniques requiring the use of robotic surgical system (list separately in addition to code for primary surgical procedure)

Provider Actions and Billing Guidance

Policy Summary

PayerArizona Complete Health

PolicyPayment Policy: Robotic Surgery

Policy CodePolicy CC.PP.050

Change TypeNo material change

Effective DateAug 1, 2017

Next Review Date

Key ActionDo not expect separate reimbursement for robotic surgical technique; code S2900 will be disallowed when billed with the primary procedure.

SourceLink

On This Page

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Denial Risk

S2900 will be disallowed; no separate reimbursement for robotic technique

Do not expect separate reimbursement for the robotic surgical technique. CPT code S2900 (Surgical Techniques requiring the use of a robotic surgical system) will be disallowed when billed as an add-on with the primary surgical procedure.

S2900 is an add-on code billed with a primary surgical procedure and denotes separate reimbursement for the robotic technique.
The policy states the use of a robotic surgical device is a surgeon’s choice and separate reimbursement is not considered.

Definitions

Robotic Surgical Device — definition

DefinitionRobotic Surgical Device: a surgical technique or approach used to perform a procedure; not required for the procedure and does not ensure a more successful outcome.

Payment stanceSeparate reimbursement for procedures performed using a robotic technique will not be considered; robotic technique is not eligible for additional payment.

Clinical relevanceThe type of instruments, technique, or approach used in a procedure is a matter of surgeon choice and not medically necessary to ensure successful outcome.

Purpose of policyTo define payment criteria for robotic surgeries to be used in making payment decisions and administering benefits.

Utilization noteUse of a robotic surgical device is a method of performing a procedure and is not required nor shown to ensure a more successful outcome compared to non-robotic approaches.