CPT 28296 · Foot / Ankle · BCBS Texas
Bunionectomy with Distal Metatarsal Osteotomy (Chevron/Mitchell) at BCBS Texas.
How BCBS Texas 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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BCBSTX-Ortho-2026Criteria summary
High-level themes from the BCBS Texas 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: BCBS Texas Medical Policy / Carelon Clinical Appropriateness Guidelines — Orthopedic Surgery
See the full BCBS Texas criteria.
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