Computer Assisted Surg Nav Musculoskeletal Procs Oh Cs
State-specific UnitedHealthcare medical policy for Ohio governing use and reimbursement of computer-assisted surgical navigation (CAN) and intra-operative sensors for musculoskeletal procedures (pelvis and appendicular skeleton), including CPT guidance and definitions; evidence summary and coverage rationale provided.
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 that intra-operative use of kinetic balance sensor is incidental with wording that intra-operative use of a sensor is incidental and not eligible for separate reimbursement.
Updated Description of Services, Clinical Evidence, and References sections to reflect most current information; archived previous policy version CS167OH.C.
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.