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PAYER POLICY CHANGES

27860 Insurance Policy Changes

CPT 27860, in plain terms, covers Ankle joint moved into position while the patient is under general anesthesia, with any traction or fixation device put on at the same time included. CPT 27860 is referenced in 3 tracked payer policy changes from Capital Blue Cross and Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 27860 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 27860 on AAPC

Watch 27860

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REFERENCE DATA

Payers with rules6
Payers requiring prior auth6
  • Anthem BCBS · Effective November 1, 2026

    Prior authorization required

    Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial)

  • BCBS Michigan · Effective October 13, 2026

    Prior authorization required in some cases

    BCBSM and BCN procedure codes for which providers must request prior authorization (commercial lines)

  • Cigna · Effective March 7, 2026

    Prior authorization required

    Cigna Commercial Comprehensive CPT Code Reference for Prior Authorization Across All Programs (EviCore)

FREQUENTLY ASKED QUESTIONS

Does Anthem BCBS require prior authorization for 27860?

Anthem BCBS lists 27860 on Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial) for commercial plans (list dated November 1, 2026). Verify with the payer before scheduling.

Does BCBS Michigan require prior authorization for 27860?

BCBS Michigan lists 27860 on BCBSM and BCN procedure codes for which providers must request prior authorization (commercial lines) for commercial plans, with conditions (list dated October 13, 2026). Verify with the payer before scheduling.

Does CalViva Health require prior authorization for 27860?

CalViva Health lists 27860 on CalViva Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Capital Blue Cross require prior authorization for 27860?

Capital Blue Cross lists 27860 on Capital Blue Cross single source preauthorization code list for commercial plans, with conditions. Verify with the payer before scheduling.

Does Cigna require prior authorization for 27860?

Cigna lists 27860 on Cigna Master Precertification List for commercial plans, with conditions (list dated October 1, 2026). Verify with the payer before scheduling.

What insurance policy changes affect CPT 27860?

There are 3 tracked policy changes affecting CPT 27860, including updates from Capital Blue Cross, Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 27860?

Payers that have issued tracked updates for CPT 27860 include: Capital Blue Cross, Aetna.

How do I get notified when CPT 27860 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 27860. You will get an email when new policy changes reference this code: daily or weekly, your choice, on every plan.

Why do payers change policies for CPT 27860?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

See every payer rule for 27860

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 27860 in one place.

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