S2300 Arthroscopy, shoulder, surgiArthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy
Status I: not valid for Medicare (Medicare uses another code).
2 of 2 payer prior-auth lists that name S2300 require prior authorization or set conditions: Humana, Rocky Mountain Health Plans.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Humana | Oak Street Health | All | prior auth required | Oak Street Health (Humana): Prior Authorization List (PAL) Codes Under Management | ||
| Rocky Mountain Health Plans | Rocky Mountain Health Plans CHP+ | CO | prior auth required | Oct 1, 2026 | Rocky Mountain Children’s Health Plan - prior authorization Effective October 1, 2026 |
S2300 appears in 5 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Electrothermal Arthroscopy (0545) | not covered | Jul 31, 2026 | payer document |
| Anthem | Electrothermal Shrinkage of Joint Capsules, Ligaments, and Tendons (SURG.00043) | unproven / investigational | Feb 19, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Thermal Capsulorrhaphy As A Treatment Of Joint Instability (L.7.01.429) | not covered | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Thermal Capsulorrhaphy as a Treatment of Joint Instability sa | not covered | Jan 21, 2026 | payer document |
| Premera Blue Cross | Non-covered Experimental/Investigational Services Page | 33 of 38 | ∞ | unproven / investigational | Oct 1, 2026 | payer document |
Prior authorization required or conditional in IN.
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.