Payer PolicyActive
RAD.00065 Radiostereometric Analysis (RSA)
ANTHEM-RAD.00065
Anthem
Effective: January 30, 2025
Updated: December 30, 2025
Policy Summary
This policy addresses radiostereometric analysis (RSA), a technique that uses implanted radiopaque markers and paired X-rays to measure orthopedic implant movement and fracture healing. Coverage: Anthem considers RSA investigational and not medically necessary for all indications; it is not covered, including for assessing migration/wear of orthopedic implants or healing of spine and extremity fractures. Limitation: There are no covered indications under this policy.
Coverage Criteria Preview
Key requirements from the full policy
"Radiostereometric analysis (RSA) is consideredinvestigational and not medically necessaryfor all uses including, but not limited to the following:"
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