Skip Navigation

Medical Policy Updates

Table Of Contents

Notification of Policy Revisions Effective April 28, 2017 (Posted February 24, 2017)

Medical Policy Revision
Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions "Notification" Reference added. Policy Guidelines and Description sections extensively revised. The following statements were added to the When Not Covered section: "Treatment of focal articular cartilage lesions with decellularized osteochondral allograft plugs (eg, Chondrofix) is considered investigational and treatment of focal articular cartilage lesions with reduced osteochondral allograft discs (eg, ProChondrix, Cartiform) is considered investigational. Notification given 2/24/17 for effective date 4/28/17.