CurrentUnitedHealthcarePolicy CS167LA.C

Computer-Assisted Surgical Navigation for Musculoskeletal Procedures (for Louisiana Only)

Defines UnitedHealthcare's coverage position for computer-assisted surgical navigation (CAN) and intra-operative sensor use in musculoskeletal procedures for members in the state of Louisiana.

Policy Summary

PayerUnitedHealthcare

PolicyComputer-Assisted Surgical Navigation for Musculoskeletal Procedures (for Louisiana Only)

Policy CodePolicy CS167LA.C

Change TypeRevisions and clarifications

Effective DateMar 1, 2025

Next Review DateN/A

Key ActionDo not bill separately for intra-operative sensor use during TKA; it is considered incidental to the primary procedure and not eligible for separate reimbursement. Ensure documentation supports that sensor use was part of the primary procedure if submitted.

SourceLink

POLICY UPDATE CHANGES

Replaced language clarifying that 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.

Applicable Codes section updated and description for CPT code 27599 revised.

Updated Description of Services, Clinical Evidence, and References sections to reflect current information.

Louisiana-onlypolicy jurisdiction

Not medically necessarycoverage stance for CAN of pelvis & appendicular skeleton

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