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Joints and Joint Procedures - UHCprovider.com

UnitedHealthcare Medicare Advantage Coverage Summary Joints and Joint Procedures Policy Number: Approval Date: July 20, 2021 Instructions for Use Coverage Guidelines .. 1 Related Medicare Advantage Policy Guideline Core Decompression for Avascular 1 Arthroscopic Lavage and Arthroscopic Debridement Hip Resurfacing .. 2 for the Osteoarthritic Knee (NCD ). Hip Replacement Surgery .. 2. Hip Acetabuloplasty .. 2. Knee Replacement Surgery .. 3. Arthroscopic Lavage and Debridement for Osteoarthritis of the Knee .. 3. Unicompartmental Knee Arthroplasty .. 3. Elbow Replacement Surgery .. 3. Shoulder Replacement Surgery .. 3. Supporting Information .. 4. Policy History/Revision Information .. 4. Instructions for Use .. 5. Coverage Guidelines Hip and knee Procedures may be covered when Medicare coverage criteria are met.

Joints and Joint Procedures Page 5 of 5 UnitedHealthcare Medicare Advantage Coverage Summary Approved 07/20/2021 Proprietary Information of UnitedHealthcare.

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