19 commercial payer policies list 27416. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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19 policies from 15 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 27416 |
|---|---|---|
| Joint Surgery | Nov 15, 2025 | Covered |
| Joint Surgery [for Anthem BCBS Ohio Medicaid] | Nov 17, 2024 | Covered |
| Level of Care for Surgical Procedures | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 27416 |
|---|---|---|
| Autologous Chondrocyte Implantation | Nov 20, 2023 |
| Covered |
| Osteochondral Autografts (Mosaicplasty, OATS) | Nov 20, 2023 | Covered |
|---|
| Policy | Effective | Status of 27416 |
|---|---|---|
| Cigna Commercial Joint Surgery Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of 27416 |
|---|---|---|
| Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions | Sep 15, 2026 | Covered |
| Policy | Effective | Status of 27416 |
|---|---|---|
| Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions | Sep 15, 2026 | Covered |
| Policy | Effective | Status of 27416 |
|---|---|---|
| Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions | Sep 15, 2026 | Covered |
| Policy | Effective | Status of 27416 |
|---|---|---|
| Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions | Sep 15, 2026 | Covered |
| Policy | Effective | Status of 27416 |
|---|---|---|
| Cigna Commercial & Medicare Advantage Joint Surgery Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 27416 |
|---|---|---|
| EOCCO Joint Surgery Code List | May 1, 2026 | Prior auth required |
| Policy | Effective | Status of 27416 |
|---|---|---|
| Osteochondral and Subchondral Defects Surgery | Jul 1, 2026 | Covered |
| Policy | Effective | Status of 27416 |
|---|---|---|
| Surgery of the Knee | Sep 10, 2026 | Covered |
| Policy | Effective | Status of 27416 |
|---|---|---|
| The Health Plan MSK Joint Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 27416 |
|---|---|---|
| Surgery of the Knee | Sep 10, 2026 | Covered |
| Policy | Effective | Status of 27416 |
|---|---|---|
| Surgery of the Knee | Sep 10, 2026 | Covered |
| Policy | Effective | Status of 27416 |
|---|---|---|
| Joint Procedures | Not recorded | Covered |