28295 Insurance Policy Changes

CPT 28295, in plain terms, covers A surgical procedure to realign the bones in the big toe joint to correct a bunion deformity. CPT 28295 is referenced in 4 tracked payer policy changes from Providence Health Plan. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 28295 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 28295 on AAPC