This document addresses the use of Coblation for the treatment of musculoskeletal conditions involving the ankle and foot, elbow, hip, knee, shoulder, and wrist. Coblation (ArthroCare Corporation; Austin, TX) is a type of radiofrequency ablation referred to as cold or controlled ablation. Coblation devices direct radiofrequency energy, rupturing target tissue cells, and disintegrating molecules with minimal heat production. Coblation technology can be delivered by a variety of wands, hand pieces and stylette tips used at different anatomic sites.

Note: Please see the following documents for other proposed uses of Coblation technology or other related indications:

• CG-SURG-87 Nasal Surgery for the Treatment of Obstructive Sleep Apnea and Snoring
• SURG.00071 Percutaneous and Endoscopic Spinal Surgery
• SURG.00100 Cryoablation for Plantar Fasciitis and Plantar Fibroma
• SURG.00129 Oral, Pharyngeal and Maxillofacial Surgical Treatment for Obstructive Sleep Apnea or Snoring

Position Statement

Investigational and Not Medically Necessary:

The use of Coblation technology is considered investigational and not medically necessary for the treatment of musculoskeletal conditions.