CommercialAdministrativeLow impact
11.14.12f, Osteochondral Allograft Transplantation (Independence Administrators)
Independence Blue Cross·Orthopedics, Sports Medicine, General Surgery·Medical Policy
We identified it
Jun 19, 2026
Summary
This is a routine annual reissue of Independence Administrators' osteochondral allograft transplantation policy with no substantive changes to coverage criteria, billing codes, or medical necessity requirements. The policy continues to cover osteochondral allograft procedures for knee and talus lesions meeting specific size and 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 reissue with no changes to policy content, coverage decisions, or billing codes. Billing team should verify that current system configurations continue to reflect the covered CPT codes (27415, 29867, 28899) and document that claims for osteochondral allograft procedures are routed to Independence Administrators claims processing (not AIM Specialty Health). Confirm member eligibility and whether their group has enrolled in the UM vendor program, as this policy does not apply to those groups upon renewal.