28285 Insurance Policy Changes

CPT 28285, in plain terms, covers A surgical procedure to straighten and fix a bent toe that curls downward into a hammer-like shape. CPT 28285 is referenced in 5 tracked payer policy changes from Providence Health Plan and Health Net. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 28285 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 28285 on AAPC