28315 Insurance Policy Changes

CPT 28315, in plain terms, covers Surgical removal of a small bone embedded in the tendon under your big toe joint. CPT 28315 is referenced in 2 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 28315 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 28315 on AAPC