Payer PolicyActive
SURG.00043 Electrothermal Shrinkage of Joint Capsules, Ligaments, and Tendons
ANTHEM-SURG.00043
Anthem
Effective: April 16, 2025
Updated: December 30, 2025
Policy Summary
This policy addresses electrothermal shrinkage (thermal capsulorrhaphy) used to tighten joint capsules, ligaments, and tendons, whether performed as a stand-alone procedure or as an adjunct to arthroscopic or open surgery. Anthem considers this service investigational/experimental and not medically necessary for all indications, so it is not covered in any clinical scenario. This applies across all joints and settings, with related codes (e.g., 29999, S2300) subject to denial.
Coverage Criteria Preview
Key requirements from the full policy
"Electrothermal shrinkage used as a stand-alone treatment or as an adjunct to arthroscopic or open surgery is consideredinvestigational and not medically necessaryfor all indications, including but ..."
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