28735
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Medicare Pricing
Work RVU
11.92
Facility
$728.47
Non-Facility
$728.47
Documentation Required
- No specific documentation requirements (medical records, test results, or clinical notes) are stated in this Clinical Policy Bulletin.
1 Active Policy
AETNA-CPB-0669 — Subtalar Implant for Foot Deformity
Related Codes
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