28296 Insurance Policy Changes

CPT 28296, in plain terms, covers Surgical removal or correction of a bony deformity at the base of the smallest toe joint. CPT 28296 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 28296 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 28296 on AAPC