All PlansCoverageMedium impact
Synthetic Cartilage Implants for Joint Pain
Blue Cross & Blue Shield of Mississippi·Orthopedics, Podiatry·Medical Policy
We identified it
Jun 20, 2026
Summary
BCBS policy A.7.01.160 confirms that synthetic cartilage implants for joint pain, including the FDA-approved Cartiva implant for MTP joint arthritis, remain considered investigational and are not covered. This policy affects billing for procedures using synthetic cartilage replacement materials.
Action Required
Billing team must verify that all synthetic cartilage implant procedures are properly coded with the listed investigational codes and ensure claims include appropriate documentation indicating investigational status. Inform providers that these procedures may require patient financial responsibility discussions due to non-coverage status under BCBS plans.