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Blue Cross & Blue Shield of MississippiAll Plans · Coverage · Medical Policy · OrthopedicsMedium impact

Three-Dimensional Printed Orthopedic Implants

Effective date
Not stated in the notice
Identified
Jun 20, 2026

Summary

Custom 3D printed implants for patients with bone or joint deformity may be considered medically necessary when the devices are produced at a central manufacturing facility and meet FDA custom device exemption requirements. 3D printed orthopedic implants with a design approved or cleared by the FDA and produced in standard sizes for patients with typical bone and joint anatomy are considered investigational. Patient-matched 3D printed implants based on non-standard shapes and sizes for patients with typical bone and joint anatomy, and those that do not qualify as custom devices, are considered investigational. 3D printed orthopedic implants produced outside FDA-regulated manufacturing facilities are also considered investigational.

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What to do

Action · 3 steps
01Billing team: Before billing HCPCS L8699 for a custom 3D printed implant for bone or joint deformity, confirm the device was produced at a central manufacturing facility and meets FDA custom device exemption requirements.
02Standard-size 3D printed implants and patient-matched implants for typical anatomy are considered investigational, and investigative services are not considered medically necessary.
03For Federal Employee Program plans, FDA-approved devices may be assessed only on the basis of medical necessity.

Codes mentioned

L8699

Original notice

Three-Dimensional Printed Orthopedic Implants
bcbsms.com · Always check the source before changing claims.
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Blue Cross & Blue Shield of Mississippi policiesOrthopedicsCode L8699

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