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AetnaAll Plans · Coverage · Medical Policy · PodiatryLow impact

Hammertoe Repair (CPB 0636, reviewed 2025-12-11)

Effective date
Not stated in the notice
Identified
Aug 16, 2026

Summary

This is Aetna's Clinical Policy Bulletin 0636 on hammertoe repair, reviewed 2025-12-11, so it is historical material from an older source. It considers surgical repair medically necessary for members who are skeletally mature or 18 or older when radiographic confirmation, persistent pain and difficulty walking after at least 3 months of conservative treatment, and a listed indication are documented. It considers fixation implants and plantar plate repair experimental, investigational or unproven, and the source does not state an effective date or describe what changed.

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What to do

Action · 2 steps
01Historical material, reviewed 2025-12-11: check current applicability at the source link before acting on these criteria.
02Read the full policy at the source link to see what changed.

Codes mentioned

282852828611044110477362073630L8641J0702J0834J1020J1030J1040J1094J1100J1700J1710J1720J2650J2920J2930J3300J3301J3302J3303L3000L3030E64.3G57.60G57.63L97.501L97.529M12.271M12.279M20.40M20.42M20.5X1M20.62M24.571M24.576M24.671M24.676M65.871M65.879M67.00M67.02M77.50M77.52M77.9Q66.7Q74.2S92.521XS92.529XS93.121XS92.129XS93.141AS93.149S

Original notice

Hammertoe Repair (CPB 0636, reviewed 2025-12-11)
aetna.com · Always check the source before changing claims.
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