CurrentHealth NetPolicy CC.PP.050

Payment Policy: Robotic Surgery

Defines Health Net's payment criteria for robotic surgical techniques and how they are reimbursed (or not) for physician, non-physician practitioner, and institutional claims.

Policy Summary

PayerHealth Net

PolicyPayment Policy: Robotic Surgery

Policy CodePolicy CC.PP.050

Change TypeNo material changes

Effective Date

Next Review Date

Key ActionDo not bill separately for S2900; reimbursement for robotic technique is disallowed when billed as add-on with primary procedure.

SourceLink

POLICY UPDATE CHANGES

No material clinical or coverage changes in this revision.

S2900 disallowedAdd-on CPT S2900 reimbursement disallowed

Physicians, NPPs, institutionsClaim types/providers affected

OptionalPolicy stance on robotic devices

Not requiredDocumentation requirements

Coverage Criteria for Robotic Surgical Technique

Coverage criteria for robotic surgical technique

Policy stance on coverage of robotic surgical technique:

Robotic surgical technique is considered optional (not required) for procedures and does not warrant separate reimbursement.

CPT/HCPCS S2900 (add-on code for robotic technique) is not reimbursed when billed in addition to a primary surgical procedure.

Applies to physician, non-physician practitioner, and institutional claims.

No additional documentation requirements specified.

Coding — Add-on and Procedure Codes

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)

Policy Summary

PayerHealth Net

PolicyPayment Policy: Robotic Surgery

Policy CodePolicy CC.PP.050

Change TypeNo material changes

Effective Date

Next Review Date

Key ActionDo not bill separately for S2900; reimbursement for robotic technique is disallowed when billed as add-on with 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.

Provider Actions — Billing and Authorization

Billing Rule

Do not bill separately for S2900 (add‑on robotic technique)

Do not bill separately for HCPCS code S2900; reimbursement for the robotic technique is disallowed when billed in addition to a primary surgical procedure.

S2900 is an add-on code billed with a primary surgical procedure and denotes separate reimbursement for the robotic technique.
Separate reimbursement for robotic technique will not be considered because robotic technique is an optional approach, not required for successful outcome.

Definitions

Robotic Surgical Device — definition and explanatory note

DefinitionRobotic Surgical Device: a surgical technique or approach that is not required to ensure the successful outcome of the procedure.

Coverage stanceSeparate reimbursement for surgeries performed using a robotic technique will not be considered.

Clinical characterizationThe type of instruments, technique or approach used in a procedure is a matter of choice of the surgeon.

Utilization noteUse of a robotic 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.