C1602 Orth/matrx/bn fill drug-elut

Orthopedic/device/drug matrix/absorbable bone void filler, antimicrobial-eluting (implantable)

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for C1602

Payer coverage policies that name C1602

C1602 appears in 1 coverage policy from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaBone and Tendon Graft Substitutes and Adjuncts (0411)listed, no stanceAug 18, 2026payer document
AetnaBone and Tendon Graft Substitutes and Adjuncts (0411)not coveredAug 18, 2026payer document

Medicaid fee-for-service

  • IN: $0.00 (professional, facility), effective Jan 1, 2024
  • KY: $0.00 (asc), effective Jan 1, 2026
  • ND: $0.00 (physician), effective Aug 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.