Computer-Assisted Surgical Navigation for Musculoskeletal Procedures – Commercial and Individual Exchange Medical Policyopen_in_new

UnitedHealthcare considers computer-assisted surgical navigation for pelvis and appendicular musculoskeletal procedures and intra‑operative sensors for implant stability in total knee arthroplasty investigational and not medically necessary (no covered indications), and intra‑operative sensor use is incidental to the primary procedure and not eligible for separate reimbursement. Evidence cited shows improved radiographic accuracy or intraoperative metrics but insufficient high‑quality data demonstrating patient‑centered benefit, so coverage depends on the member‑specific benefit plan and applicable laws.

"Intra-operative use of a sensor for implant stability during knee replacement arthroplasty is considered incidental to the primary procedure being performed and is not eligible for separate reimbur..."

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