Subtalar Implant for Foot Deformity

Aetna considers subtalar implants experimental and investigational and therefore excludes coverage for subtalar arthroereisis/implantation (including devices such as HyProCure, ASI/CSI, Prostop, BioArch, MBA, EOTTS and other listed implants) for any indication (e.g., subtalar instability, clubfoot, foot drop, congenital or adult-onset flatfoot, posterior tibial tendon dysfunction). Coverage is denied because effectiveness has not been established; there is no specific CPT for these implants and CPT codes 0335T and 0510T–0511T for sinus tarsi implant placement/removal are not covered for these indications.

"ICD-10 codes identified in the CPB as not covered for indications listed (not all-inclusive): Q66."

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