BlueCross BlueShield of Tennessee Medical Policy Manual

Computer Assisted Surgical Navigational Orthopedic Procedures

DESCRIPTION

The term computer-assisted musculoskeletal surgical navigational orthopedic procedure describes navigation systems that provide additional information during a procedure that attempt to further integrate preoperative planning with intraoperative execution.

The most commonly performed orthopedic computer-assisted surgeries appear to be as an adjunct to fixation of pelvic, acetabular, or femoral fractures, and as an adjunct to hip and knee arthroplasty procedures.

POLICY

IMPORTANT REMINDER

We develop Medical Policies to provide guidance to Members and Providers. This Medical Policy relates only to the services or supplies described in it. The existence of a Medical Policy is not an authorization, certification, explanation of benefits or a contract for the service (or supply) that is referenced in the Medical Policy. For a determination of the benefits that a Member is entitled to receive under his or her health plan, the Member's health plan must be reviewed. If there is a conflict between the Medical Policy and a health plan, the express terms of the health plan will govern.

ADDITIONAL INFORMATION

Surgical navigations systems require clearance from the U.S. Food and Drug Administration (FDA), but generally are subject only to 510(k) clearance, since computer-assisted surgery is considered analogous to a surgical information system in which the surgeon is only acting on the information that is provided by the navigation system. As such, the FDA does not require data documenting the intermediate or final health outcomes associated with computer-assisted surgery. (In contrast, robotic procedures, in which the actual surgery is robotically performed, are subject to the more rigorous requirement of the premarket approval application process.) A variety of surgical navigation procedures have received FDA clearance through the 510(k), and, in general, the labeled indications are very broad.

No controlled studies were found in the published literature that validates using computer assisted navigational systems to reduce post-procedure complications or increases longevity.

SOURCES

BlueCross BlueShield Association. Medical Policy Reference Manual. (2:2010). Computer assisted musculoskeletal surgical navigational orthopedic procedure (7.01.96). Retrieved April 15, 2011 from BlueWeb. (18 articles and/or guidelines reviewed)

Costa, D. J., & Sindwani, R. (2009). Advances in surgical navigation. Otolaryngologic Clinics of North America, 42 (5), 799-811.

Hayes. Medical Technology Directory. (2009, February). Imageless computer-assisted surgery for total knee replacement. Retrieved April 15, 2011 from www.Hayesinc.com/subscribers. (57 articles and/or guidelines reviewed)

Kendoff, D., Citak, M., Voos, J., & Pearle, A. D. (2009). Surgical navigation in knee ligament reconstruction. Clinics in Sports Medicine, 28 (1), 41-50.

Knoyves, A., Willis-Owen, C. A., & Spriggins, A. J. (2010). The long-term benefit of computer-assisted surgical navigation in unicompartmental knee arthroplasty. Journal of Orthopaedic Surgery and Research, 5, 94.

Molli, R. G., Anderson, K. C., Buehler, K. C., & Markel, D. (2011). Computer-assisted navigation software advancements improve the accuracy of total knee arthroplasty. The Journal of Arthroplasty, 26 (3), 432-438. (Level 3 Evidence - Independent study)

U. S. Food and Drug Administration. (2010, August). Center for Devices and Radiological Health. 510(k) Premarket Notification Database. K093206. Retrieved April 15, 2011 from http://www.accessdata.fda.gov/cdrh_docs/pdf9/K093206.pdf.

U. S. Food and Drug Administration. (2009, September). Center for Devices and Radiological Health. 510(k) Premarket Notification Database. K091411. Retrieved April 15, 2011 from http://www.accessdata.fda.gov/cdrh_docs/pdf9/K091411.pdf.

Ybinger, T. & Kumpan, W. (2007). Enhanced acetabular component positioning through computer assisted navigations. International Orthopedics, (Suppl. 1), 35-38.

ORIGINAL EFFECTIVE DATE:  12/8/2007     

MOST RECENT REVIEW DATE:  5/12/2011

ID_BT

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