Prior Auth Required

28315 - Sesamoidectomy, 1st Toe (Sep Proc)

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceSesamoidectomy, 1st Toe (Sep Proc)
Procedure / Service Description

Hallux rigidus correction with cheilectomy, debridement and capsular release of the first - 28310 Osteotomy, Shortening, Angular/Rotational Correction; Proximal Phalanx, 1st Toe (Sep Proc) 28312 Osteotomy, Shortening, Angular/Rotational Correction; Other Phalanges, Any Toe 28315 Sesamoidectomy, 1st Toe (Sep Proc) 28446 Open osteochondral autograft, talus (includes obtaining grafts) 28750 Arthrodesis, Great Toe; Metatarsophalangeal Joint

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.