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ACG
​
h.o.l.M.E.S.

Automated Clinical Guidelines

Ankle/Foot

ankle.jpg
Foot & Ankle Surgery
Achilles Tendon Repair
Allograft Transplants of Ankle
Ankle Arthroscopy
Ankle Arthrotomy
Total Ankle Arthroplasty
Ankle Arthrodesis (Talotibial Joint)
Anthem
UHC
Aetna
UHC
UHC
FloridaBlue
Aetna
UHC
Arthrodesis or Arthroplasty, Interphalangeal Joint, Second-Fifth Toes
Bunionectomy (hallux valgus surgery)
UHC
UHC
Bunion Surgery
EpiFix Wound Treatment
First Metatarsophalangeal (MTP) Joint Arthrodesis
First Toe Osteotomy of the Proximal Phalanx
Hammertoe Repair
Metatarsal Phalangeal Joint Replacement
Humana
Aetna
Aetna
UHC
UHC
Humana
Aetna
Cigna
Nail Debridement
Surgical Treatment of Nails
Plantar Fascial Release
Surgical Treatment of Tailor's Bunion or Bunionette
Routine Foot Care
Tibial Nerve Decompression
Treatment of Ulcers and Symtomatic Hyperkeratoses
Medicare
Humana
Aetna
Medicare
Medicare
UHC
UHC

Indicates Non-covered Service

Articular Cartilage Repair of the Ankle
Gait Analysis & Electrodyno-gram
Extraosseous Subtalar Joint Implantation and Subtalar Arthroereisis
Extracorporeal Shock Wave Therapy for Musculoskeletal Conditions
Functional Neuromuscular  Stimulation
Minimally Invasive Treatments for Plantar Fasciitis
Noncontact Normothermic Wound Therapy
Cigna
Aetna
Aetna
FloridaBlue
Humana
Cigna
Cigna
FloridaBlue
Orthopedic Applications of Stem-Cell Therapy
Pedobar-ography
Quantitative Sensory Testing
Subtalar Arthroereisis
FloridaBlue
Aetna
FloridaBlue
Aetna
FloridaBlue
Cigna

26535, 26536, 27685, 27700, 27702, 27703, 27704, 28110, 28240, 28285, 28289, 28291, 28292, 28295, 28296, 28298, 28299, 28306, 28308, 28310, 28740, 28750, 28899, 29891, 29892, 29893, 29894, 29895, 29897, 29898, 29899

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