Shoulder Resurfacing Arthroplasty
Defines CareFirst coverage position for shoulder resurfacing arthroplasty (humeral head resurfacing with/without glenoid resurfacing) including definition of experimental/investigational status, rationale, literature updates, reporting guidance, and benefit applicability.
Update 2025 literature search found no change to policy conclusions; policy remains experimental/investigational.
Coverage Summary
CareFirst Policy 7.01.115 (effective 2025-12-01) states that shoulder resurfacing arthroplasty is considered experimental/investigational and is not covered. The policy number is 7.01.115. Scope: defines CareFirst's coverage position for humeral head resurfacing (with or without glenoid resurfacing), provides the rationale for experimental/investigational status, summarizes literature updates, and gives reporting and benefit applicability guidance.
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