S2135
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Key Coverage Criteria
- Changes in shoe wear (that is, shoes with a wide box toe reduce compression of the metatarsal heads and reduce pressure on the nerve);and
- Injections of anesthetic, sclerosing (neurolytic), or steroid agents are consideredmedically necessaryfor treatment of Mortonâs neuroma whenallof the following conservative therapies have failed:
- Padding or orthotic devices (these can provide support to reduce pressure and compression on the nerve);and
- Activity modification (to reduce repetitive pressure on the nerve);and
- Medications unless otherwise contraindicated (for example, nonsteroidal anti-inflammatory drugs which help reduce inflammation).
1 Active Policy
ANTHEM-CG-SURG-25 — CG-SURG-25 Injection Treatment for Mortonâs Neuroma
Related Codes
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