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Anthem Blue Cross Connecticut RAD.00065 Radiostereometric Analysis (RSA) Form
Procedure is not covered
This document addresses radiostereometric analysis (RSA). RSA is a method for performing three-dimensional (3-D) measurement and motion analysis using implanted markers and stereoscopic radiographs.
Position Statement
Investigational and Not Medically Necessary:
Radiostereometric analysis (RSA) is considered investigational and not medically necessary for all uses including, but not limited to the following:
- Determination of migration and wear of orthopedic implants;
- Assessment of spine and extremity fracture healing