CPT 28296 · Foot / Ankle · Anthem BCBS
Bunionectomy with Distal Metatarsal Osteotomy (Chevron/Mitchell) at Anthem BCBS.
How Anthem BCBS approaches CPT 28296 (Bunionectomy with Distal Metatarsal Osteotomy (Chevron/Mitchell)) for prior-authorization review: at last review on 2026-04-15, the policy covers this code with prior authorization required.
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Carelon-Ortho-2026Criteria summary
High-level themes from the Anthem BCBS policy of record for CPT 28296. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 12 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: Carelon Clinical Appropriateness Guidelines — Orthopedic Surgery
See the full Anthem BCBS criteria.
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