CommercialAdministrativeLow impact
11.14.23d, Surgical Treatment of Femoroacetabular Impingement (Independence Administrators)
Independence Blue Cross·Orthopedics, Sports Medicine·Medical Policy
We identified it
Jun 19, 2026
Summary
This is a routine reissue of Independence Administrators' FAI surgical treatment policy with no material changes to coverage criteria, medical necessity requirements, or billing codes. The policy continues to cover arthroscopic and open FAI procedures (CPT 29914, 29915, 29916, 27299) for appropriate candidates meeting specific clinical criteria, and applies only to Independence Administrators claims (not Commercial Independence members, who use AIM guidelines).
Action Required
No immediate action required. This is a routine policy reissue with no substantive changes. Billing team should confirm that current workflows for FAI surgery authorization align with the documented medical necessity criteria (3+ months conservative therapy, positive impingement sign, appropriate imaging, no advanced osteoarthritis, patient age considerations). Verify that claims are being submitted to the correct payer (Independence Administrators only—not Commercial Independence members). Document that member benefits are verified before service delivery per policy requirements.