Surgery Hip Cs
UnitedHealthcare medical policy CS056.AA governing coverage and medical necessity of hip surgeries including arthroscopy, arthrotomy, hemiarthroplasty, and total hip replacement, and surgical treatment for Femoroacetabular Impingement (FAI) Syndrome; references InterQual criteria for detailed clinical coverage conditions and lists applicable CPT/HCPCS codes and definitions.
Added notation that iliopsoas tendon release, capsular repair, and capsular release surgery are integral to the primary hip procedure and not separately reimbursable; debridement during hip arthroscopy is integral to CPT codes 29914, 29915, and 29916 and not separately reimbursable.
Updated definition of 'Radiographic Findings of Osteoarthritis'.
Removed content/language pertaining to the state of Louisiana.
Updated Clinical Evidence and References sections to reflect the most current information.
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.