| Total Knee Replacement* |
| Partial Knee Replacement* |
| Total Hip Replacement* |
| Total Ankle Replacement* |
| Total Shoulder Replacement |
| Partial Shoulder |
| Trigger Finger Release |
| Carpal Tunnel Release |
| Ulnar Nerve Transposition |
| Elbow Biceps Tendon Repair |
|
Elbow Tenotomy (Tennis Elbow)
|
| Hip Arthroscopy/Shaving |
| Manipulation of Knee Joint |
| Diagnostic Knee Scope |
| Removal of Kneecap Bursa |
| Knee Arthroscopy/Meniscectomy/Medial or Lateral |
| Knee Arthroscopy/Chondroplasty |
| Knee Arthroscopy/Abrasive Arthroplasty |
| Knee Arthroscopy/Synovectomy, Limited of Major |
| Knee Arthroscopy with Lateral Release or Microfracture |
| Knee Arthroscopy/Lysis of Adhesions |
| Removal of Knee Cyst |
| Knee Arthroscopy/Removal of Foreign Body |
| Meniscal Repair |
| ACL or PCL Repair |
| Removal of Support Implant -- Superficial |
| Removal of Support Implant -- Deep |
| Epidural Injections (Cervical, Epidural, or Transforaminal)* |
| Achilles Repair |
| Hammertoe |
| Bunionectomy |
| Cheilectomy |
| Toe Joint Fusion |
| Ankle Fusion |
| Manipulation of Shoulder Joint |
| Shoulder Biceps Tendon Repair |
| Shoulder Arthroscopy - Debridement |
| Shoulder Arthroscopy - Distal Clavicle Resection |
|
Shoulder Arthroscopy - Labral/SLAP Repair
|
| Discectomy* |
| Laminotomy/Laminectomy* |
| Nerve Root Decompression |
| Cervical Fusion/Disc Arthroscopy* |
| Lumbar Fusion* |
| Rotator Cuff Repair |
*requires WEA pre-authorization