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CommercialCoverageLow impact

11.14.17e, Computer-assisted Musculoskeletal Surgical Navigational Orthopedic Procedure

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

Summary

This is a reissue with no substantive changes to Independence Blue Cross Commercial Medical Policy 11.14.17e. The policy continues to classify computer-assisted musculoskeletal surgical navigational orthopedic procedures as experimental/investigational and not covered under commercial plans. The most recent reissue (03/04/2026) confirms the Company's continuing position with no policy modifications.

Action Required

Action needed
No immediate action required. This is a reissue with no changes to coverage. Billing team should verify that systems continue to deny claims for CPT codes 0054T, 0055T, 20985, and 27599 as experimental/investigational procedures for all commercial plans. If your practice submitted claims for these codes, ensure denials are processed and patients are informed that these procedures are not covered by Independence Blue Cross commercial products.

Affected Billing Codes

20985
27599