top of page

ACG
​
h.o.l.M.E.S.

Automated Clinical Guidelines

Shoulder

Indicates Non-covered Service

Extracorporeal Shock-Wave Therapy for Musculoskeletal Indications and Soft Tissue Injuries
Manipulation Under Anesthesia of the Shoulder
Shoulder Arthroplasty and Arthrodesis
Shoulder Arthroplasty
Shoulder Arthroscopy
Shoulder Arthrotomy
Shoulder Surgery
UHC
Aetna
Anthem
Humana
Anthem
Cigna
UHC
Anthem
Cigna
UHC
Humana
Point32Health
UHC
Winged Scapula Surgery
Aetna

Add a Title

Aetna

Indicates Non-covered Service

Articular Cartilage Repair of the Shoulder
Cooling & Heating Devices Used in the Outpatient Settings
Extracorporeal Shock Wave Therapy for Musculoskeletal Conditions
Intramedullary Lengthening Devices – Humerus
Subacromial Balloon Spacer
Thermal Shrinkage
Cigna
UHC
Humana
Cigna
Cigna
FloridaBlue

23470, 23472, 23473, 23474, 29805, 29806, 29807, 29819, 29820, 29821, 29822, 29823, 29824, 29825, 29826, 29827, 29828

bottom of page