CPT 25609 · Trauma / Fracture · Anthem BCBS
ORIF Distal Radius Fracture — Intra-articular, 3+ Fragment at Anthem BCBS.
How Anthem BCBS approaches CPT 25609 (ORIF Distal Radius Fracture — Intra-articular, 3+ Fragment) for prior-authorization review: at last review on 2026-05-02, the policy covers this code without prior authorization.
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Coverage
Covered
Prior auth
No prior auth
Last reviewed
2026-05-02
Criteria summary
High-level themes from the Anthem BCBS policy of record for CPT 25609. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
Source: Anthem Medical Policy
See the full Anthem BCBS criteria.
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