CommercialCoverageMedium impact
11.14.03h, Meniscal Allograft Transplantation and Meniscal Implants (Independence Administrators)
Independence Blue Cross·Orthopedics, Sports Medicine·Medical Policy
Effective date
Apr 16, 2025
We identified it
Jun 19, 2026
Summary
Independence Administrators has reissued policy 11.14.03h regarding meniscal allograft transplantation and meniscal implants, effective April 16, 2025. The billing team must review the full policy text to identify specific coverage, billing code, or prior authorization changes for these orthopedic procedures and update workflows accordingly.
Action Required
By April 16, 2025: Billing team must access the full policy text at https://medpolicy.ibx.com/ibc/Commercial/Pages/Site-Activity-View.aspx?FilterField1=MPSiteActivityLogMonth&FilterValue1=04&FilterField2=MPSiteActivityLogYear&FilterValue2=2025#commercial-11-14-03h to extract specific CPT codes (likely 27445, 27447 or similar meniscal procedure codes), HCPCS codes for meniscal implants/allografts, and any prior authorization requirements. Update billing system rules, encounter forms, and provider documentation templates to reflect the reissued policy terms. Communicate any changes to orthopedic surgery providers and coders. Claims submitted without compliance to the updated policy may be denied or delayed.