CommercialCoverageMedium impact
Surgical Treatment of Femoroacetabular Impingement
Blue Cross & Blue Shield of Mississippi·MS · Orthopedics, Sports Medicine·Medical Policy
We identified it
Jun 20, 2026
Summary
BCBS Mississippi has updated their medical policy for surgical treatment of femoroacetabular impingement, establishing specific coverage criteria including age requirements (≥15 years), symptom severity, conservative treatment failure, and imaging findings. The policy covers both open and arthroscopic treatments when strict medical necessity criteria are met.
Action Required
Immediately: Review all pending and future femoroacetabular impingement surgery cases to ensure they meet the new coverage criteria including skeletal maturity (≥15 years), 3+ months of failed conservative therapy, positive impingement signs, appropriate imaging findings, and absence of advanced osteoarthritis. Update pre-authorization checklists to include these specific requirements. Educate orthopedic surgeons on the strict documentation requirements for medical necessity.