Coverage information is gathered from third-party and payor websites, and is presented for illustrative purposes only. This information does NOT represent a guarantee of coverage or payment. Benefit plans vary in coverage and some plans may not provide coverage for certain services discussed in the medical policies or based on medical necessity in lieu of a medical policy. Coverage decisions are subject to all terms and conditions of the applicable member's benefit plan, including specific exclusions and limitations, and to applicable state and/or federal law. Medical policy does not constitute plan authorization, nor is it an explanation of benefits.
Member's benefits govern which services are covered. Members should contact their local customer services representative for specific coverage information for the procedure (CPT codes: 31295, 31296 and 31297) Specific care and treatment may vary depending on individual need and the benefits covered under your contract. Federal and State law, as well as contract language, including definitions and specific contract provisions/exclusions, take precedence over the plan's medical policies and must be considered first in determining eligibility for coverage. The member's contract benefits in effect on the date that services are rendered must be used. Medical technology is constantly evolving, and the plans reserve the right to review and update their medical policies or coverage based on medical necessity periodically.
Stryker assumes no responsibility for any results obtained by any individual, agency, business, facility or other provider for use of the payor information listed.