Reimbursement Policy: Robotic Assisted Surgery (Healthy Blue + Medicare (HMO D-SNP))

Reimbursement Policy
Provider Newsletter Article

Informational
Robotic Assisted Surgery
(Policy G-10004, effective 09/01/2023)

Please note, this communication applies to Healthy Blue + Medicare^℠ (HMO D-SNP) offered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC).

Effective September 1, 2023, the Robotic Assisted Surgery reimbursement policy with Blue Cross NC will expand to include the computer-assisted surgical systems.

This policy does not allow separate reimbursement for technology assisted services detailed in the Related Coding section. These services are considered integral to the primary surgical procedure, are included in the primary surgical procedure and are not separately reimbursed.

The policy has been renamed to Technology Assisted Surgical Procedures defines both robotic assisted and computer assisted techniques.

For additional information, please visit Healthy Blue + Medicare to review the Technology Assisted Surgical Procedures reimbursement policy.