29861 Insurance Policy Changes

Hip Arthroscopy - Medicare Advantage (Revised)

Humana Medicare Advantage has revised their hip arthroscopy coverage policy, establishing specific medical necessity criteria including required conservative treatment failure periods (3 months for general hip arthroscopy, 12 months for greater trochanteric pain syndrome) and specific clinical indications. The policy excludes coverage for advanced hip arthritis (Tonnis grade 3) and in-office needle arthroscopy procedures.