Medicare AdvantageAdministrativeLow impact
MA11.088c, Computer-Assisted Musculoskeletal Surgical Navigational Orthopedic Procedure
Independence Blue Cross·NJ · Orthopedics, General Surgery, Sports Medicine·Medical Policy
We identified it
Jun 19, 2026
Summary
This is a routine reissue with no substantive changes to policy MA11.088c. The policy continues to classify computer-assisted musculoskeletal surgical navigational orthopedic procedures (CPT 0054T, 0055T, 20985, 27599) as experimental/investigational and non-covered for Independence Blue Cross Medicare Advantage plans. No new coverage criteria, billing changes, or effective dates have been introduced.
Action Required
No immediate action required. This is a routine annual policy reissue with no changes to coverage status or billing requirements. Billing team should maintain existing denial protocols for CPT 0054T, 0055T, 20985, and 27599 when billed to Independence Blue Cross Medicare Advantage plans in New Jersey. Providers should continue to educate patients that computer-assisted navigational orthopedic procedures are not covered benefits.