Payor
BCBS FEP
Rubrica tracks 6 sourced coverage rules across 6 CPT codes for BCBS FEP — covering interventional spine, pain management, ortho spine, and orthopedics. Plan type(s): commercial. National policy.
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Every Rubrica record cites a specific BCBS FEP policy document with last-reviewed date and (where available) verbatim source text. Aggregate coverage breakdown by procedure category is shown below; full payor-specific criteria require sign-in.
Coverage by category
BCBS FEP's coverage stance across procedure categories tracked in the Rubrica catalog.
| Category | Rules | Covered | Prior auth | Investigational |
|---|---|---|---|---|
| Other Procedure | 6 | 6 | 6 | 0 |
Top tracked procedures
First 15 CPT codes in the BCBS FEP catalog. Sign in for verbatim criteria, source links, and the rest of the catalog.
| CPT | Procedure | Coverage |
|---|---|---|
29881 | Knee Arthroscopy with Meniscectomy (Medial OR Lateral) | Covered |
29880 | Knee Arthroscopy with Meniscectomy (Medial AND Lateral) | Covered |
27447 | Total Knee Arthroplasty (TKA) | Covered |
27130 | Total Hip Arthroplasty (THA) | Covered |
29827 | Arthroscopic Rotator Cuff Repair | Covered |
23472 | Total Shoulder Arthroplasty (TSA / Reverse TSA) | Covered |
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