28291 Insurance Policy Changes

CPT 28291, in plain terms, covers Surgery to fix a stiff big toe joint by implanting a device to restore movement and function. CPT 28291 is referenced in 3 tracked payer policy changes from Providence Health Plan and Blue Cross & Blue Shield of Mississippi. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 28291 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 28291 on AAPC