CommercialCoverageMedium impact
Patient-Specific Instrumentation (eg, Cutting Guides) for Joint Arthroplasty
Blue Cross & Blue Shield of Mississippi·MS · Orthopedics·Medical Policy
Effective date
May 8, 2025
We identified it
Jun 20, 2026
Summary
BCBS MS updated their policy on patient-specific instrumentation (cutting guides) for joint arthroplasty, maintaining that these procedures are considered investigational and not covered. The policy was last updated on 05/08/2025 with device information updates but no change to the investigational status.
Action Required
Immediately: Billing team must continue to treat patient-specific instrumentation/cutting guides for joint arthroplasty as investigational procedures. Use CPT 27599 (unlisted procedure, femur or knee) for billing but expect denials. Inform orthopedic surgeons that these procedures remain non-covered by BCBS MS. Document medical necessity thoroughly if submitting claims.