Does S2118 require prior authorization?

Yes, S2118 requires prior authorization (high confidence). Code explicitly requires prior authorization.

What is the Medicare reimbursement rate for S2118?

Medicare facility rate: N/A. Non-facility rate: N/A. Work RVU: 0.00.

HCPCS/CPT

Prior Auth Required

Code explicitly requires prior authorization (high confidence)

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

Computed tomography scanning may be performed to assess post-operative complaints for metal talar inlay implants (Vuurberg et al. 2018: CT scanning used in 8 patients to assess post-operative complaints).
Clinical and functional outcome documentation used in studies (examples): Oxford Shoulder Score, Constant-Murley Score, Numeric Rating Scales (NRS) for pain, FAOS, AOFAS Ankle-Hindfoot Scale, SF-36, WOMAC, KSS, OKS, Forgotten Joint Score — these outcome measures were consistently collected in the literature though not explicitly mandated as coverage documentation in this excerpt.
No documentation requirements, required medical records, test results, or specific clinical documentation items are specified in this excerpt.
"pre-operative CT scans" used for CT-based 3D implant planning and templating in robotic-assisted TKA (eg, "All cases undergoing RA-TKA undergo pre-operative CT-scans as per protocol.")

Coverage requires that surgery of the hip/FAI syndrome is medically necessary in specific circumstances as defined by the InterQual CP criteria referenced by UnitedHealthcare; treatment is not universally covered for all FAI cases.
anatomic patellofemoral inlay resurfacing
UniCAP as an alternative for unicompartmental arthritis
robotic-arm assisted total knee arthroplasty
patellar resurfacing after total knee arthroplasty
prosthetic inlay resurfacing as a salvage procedure for a failed cartilage repair

SUR705.019, Hip Resurfacing (HR)

UHC-POL-surgery-hip, Surgery of the Hip

AETNA-CPB-0661, Joint Resurfacing

BCBSIL-SUR705.019, Hip Resurfacing

BCBSMT-SUR705.019, Hip Resurfacing

Ask Verity about documentation requirements, denial risks, or coverage in your state.