CPT 28296 · Foot / Ankle · Medicare (Noridian JF MAC)
Bunionectomy with Distal Metatarsal Osteotomy (Chevron/Mitchell) at Medicare (Noridian JF MAC).
How Medicare (Noridian JF MAC) approaches CPT 28296 (Bunionectomy with Distal Metatarsal Osteotomy (Chevron/Mitchell)) for prior-authorization review: at last review on 2026-05-10, the policy covers this code without prior authorization.
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No active LCDCriteria summary
High-level themes from the Medicare (Noridian JF MAC) 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: CMS IOM — Reasonable and Necessary Standard; coverage per Noridian JF MAC local policy
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