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11.14.17e, Computer-assisted Musculoskeletal Surgical Navigational Orthopedic Procedure

Independence Blue Cross·Orthopedics, General Surgery, Sports Medicine·Medical Policy
Effective date
Not stated
We identified it
Jun 19, 2026
Days to comply
—

Summary

This is a routine annual reissue of policy 11.14.17e with no substantive changes to coverage. Computer-assisted musculoskeletal surgical navigational orthopedic procedures remain classified as experimental/investigational and are not covered by Independence Blue Cross Commercial plans. No new billing codes or requirements have been introduced.

Action Required

Action needed
No immediate action required. Billing team should verify that denial protocols remain in place for CPT codes 0054T, 0055T, 20985, and 27599 when billed under Independence Blue Cross Commercial plans. These codes must continue to be denied as experimental/investigational services. No workflow changes needed as this reissue communicates the Company's continuing (unchanged) position.

Affected Billing Codes

20985
27599