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Indicates Non-Covered Service
Arthroscopic Anterior Cruciate Ligament Surgery in Skeletally Immature
Articular Cartilage Restoration/Repair of the Knee
CMS66v10
Functional Status Assessment for Total Knee Replacement-
CMS-66v10
-Humana-
Knee: Autologous Chondrocyte Implantation (ACI)
Knee injury & Osteoarthritis Outcome Score (KOOS)
Outpatient
Total Knee & Total Hip Arthroplasty
-FloridaBlue-
-Humana-
-Medicare-
-UHC-
Indicates Non-Covered Service
Autologous Chondrocyte Implantation
-Cigna-
Computer-Assisted Navigation for Orthopedic Procedures
Continuous Passive Motion (CPM) & Mechanical Stretching Devices
Cooling & Heating Devices Used in the Outpatient Settings
Extracorporeal Shock Wave Therapy for Musculoskeletal Conditions
Knee Ligament Arthrometer Testing
-Aetna-
Orthopedic Applications of Stem-Cell Therapy
-FloridaBlue-
-FloridaBlue-
-Cigna-
-FloridaBlue-
-Humana-
Unicondylar Interpositional Spacer
Devices
Visco-
supplements
-FloridaBlue-
Osteochondral Allograft Transplantation
Osteochondral Autograft Transplantation
-Cigna-
-Cigna-
-FloridaBlue-
-Humana-
-UHC-
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