Employers

Employer contract and insurance card information.

Bundled Procedure List

Bundled episodes of care offered through NOVO Health.

Insurance Networks

Insurance networks offering bundled episodes of care through NOVO Health.

NOVO Health Bundled Procedures

Orthopedic, Spine & Podiatric

Primary CPT — Procedure Description
20670 — Removal of Support Implant – Superficial
20680 — Removal of Support Implant – Deep
22551 — Cervical Fusion – 1 Level
22552 — Cervical Fusion – 2 Level
22554 — Cervical Fusion – 1 Level
22612 — Lumbar Fusion – 1 Level
22630 — Lumbar Fusion – 1 Level
22633 — Lumbar Fusion – 1 Level
22856 — Disc Arthroplasty
22857 — Disc Arthoplasty
23410 — Rotator Cuff Repair
23412 — Rotator Cuff Repair
23430 — Shoulder Biceps Tendon Repair
23470 — Partial Shoulder Replacement
23472 — Total Shoulder Replacement
23700 — Manipulation of Shoulder Joint

24340 — Elbow Biceps Tendon Repair
24359 — Elbow Tenotomy (Tennis Elbow)
26055 — Trigger Finger Release
27096 — SI Joint Injection – Unilateral
27130 — Total Hip Replacement
27132 — Total Hip Replacement-Conversion
27340 — Removal of Kneecap Bursa
27345 — Removal of Knee Cyst
27446 — Partial Knee Replacement
27447 — Total Knee Replacement
27486 — Total Knee Replacement – Revision
27487 — Total Knee Replacement – Revision
27570 — Manipulation of Knee Joint
27650 — Achilles Repair
27654 — Achilles Repair
27702 — Total Ankle Replacement
27870 — Ankle Fusion
28285 — Hammertoe
28289 — Cheilectomy/Hallux Rigidus
28296 — Bunionectomy
28297 — Bunionectomy
28298 — Bunionectomy
28299 — Bunionectomy
28750 — Toe Joint Fusion
29806 — Shoulder Arthroscopy – Capsulorrhaphy
29807 — Shoulder Arthroscopy – SLAP Repair
29822 — Shoulder Arthroscopy – Debridement

Primary CPT — Procedure Description
29823 — Shoulder Arthroscopy – Debridement
29824 — Shoulder Arthroscopy – Distal Clavicle Resection
29827 — Rotator Cuff Repair
29862 — Hip Arthroscopy / Shaving
29870 — Diagnostic Knee Scope
29873 — Knee Arthroscopy – w/ Lateral Release
29874 — Knee Arthroscopy – Removal Foreign Body
29875 — Knee Arthroscopy – Synovectomy
29876 — Knee Arthroscopy – Synovectomy
29877 — Knee Arthroscopy – Debridement; Shaving
29879 — Knee Arthroscopy – Abrasive Arthroplasty
29880 — Knee Arthroscopy – Meniscectomy Medial and Lateral
29881 — Knee Arthroscopy – Meniscectomy Medial or Lateral
29882 — Knee arthroscopy – Meniscus Repair Medial OR Lateral
29884 — Knee Arthroscopy – Lysis of Adhesions
29888 — ACL Repair
29889 — PCL Repair
62321 — Epidural Injection – Cervical
62323 — Epidural Injection – Epidural
63020 — Discectomy
63030 — Discectomy
63042 — Laminotomy / Laminectomy
63045 — Nerve Root Decompression
63047 — Laminotomy / Laminectomy
63056 — Nerve Root Decompression
63075 — Nerve Root Decompression
63650 — Stimulator Trial
63685 — Stimulator Implant
64479 — Epidural Injection – Cervical / Thoracic Transforaminal – 1 Level
64480 — Epidural Injection – Cervical / Thoracic Transforaminal – 2 Level
64483 — Epidural Injection – Lumbar Transforaminal – 1 Level
64484 — Epidural Injection – Lumbar Transforaminal – 2 Level
64490 — Facet Injection – Cervical -1 Level
64491 — Facet Injection – Cervical – 2 Level
64493 — Facet Injection – Lumbar -1 Level
64494 — Facet Injection – Lumbar – 2 Level
64718 — Ulnar Nerve Transposition
64721 — Carpal Tunnel Release
22558-59 — Anterior/Posterior Lumbar Fusion – 1 Level
23472-59 — Total Shoulder Replacement – Reverse
27096-50 — SI Joint Injection – Bilateral

Plastic Surgery

Primary CPT — Procedure Description
11970 — Breast Cancer Reconstruction, Stage 2: Unilateral
19350 — Breast Cancer Reconstruction, Stage 3: Unilateral
19380 — Breast Cancer Reconstruction, Stage 4: Unilateral
11970-50 — Breast Cancer Reconstruction, Stage 2: Bilateral
15822-50 — Blepharoplasty-Upper eyelids (Bilateral)
19318-50 — Breast Reduction-Bilateral including Liposuction
19350-50 — Breast Cancer Reconstruction, Stage 3: Bilateral
19380-50 — Breast Cancer Reconstruction, Stage 4: Bilateral

Women's Care

Primary CPT — Procedure Description
58570 — Laparoscopic Hysterectomy
58571 — Laparoscopic Hysterectomy
58573 — Laparoscopic Hysterectomy
58662 — Laparoscopic Excision of Endometriosis/Treatment of Ovary
58570-59 — Laparoscopic Hysterectomy w/ Burch
58571-59 — Laparoscopic Hysterectomy w/ Burch
58573-59 — Laparoscopic Hysterectomy w/ Burch

Cardiac Care

Primary CPT — Cardiology
93000 — EKG
93015 — Treadmill (Stress Test)
93224 — Holter Monitor
93228 — Mobile Cardiac Telemtry Monitoring
93268 — Event Monitor
93306 — Echocardiogram
93880 — Carotid Artery Ultrasound