Computer Assisted Surg Nav Musculoskeletal Procs Oh Cs
UnitedHealthcare Ohio medical policy CS167OH.D addressing use, coverage stance, definitions, evidence review, and coding guidance for computer-assisted surgical navigation and intra-operative sensors for musculoskeletal procedures (pelvis and appendicular skeleton), including total hip and knee arthroplasty and other appendicular indications. Applies only to Ohio Medicaid/commercial plan members as stated.
Replaced language indicating 'the use of intra-operative kinetic balance sensor for implant stability during knee replacement arthroplasty is unproven and not medically necessary' with 'the use of an intra-operative sensor for implant stability during knee replacement arthroplasty and for improved knee function post-operatively is unproven and not medically necessary'.
Revised description for CPT code 27599.
Replaced notation indicating incidental use referenced 'kinetic balance sensor' with 'a sensor' for implant stability during knee replacement arthroplasty.
Archived previous policy version CS167OH.C.
Updated Description of Services, Clinical Evidence, and References sections to reflect the most current information.
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