CPT 0511T: Implant Revision for Foot Hyperpronation
CPT code 0511T denotes a surgical implant revision procedure targeting the soft-tissue corridor between the ankle and calcaneus to treat symptomatic hyperpronation of the foot. The code captures both removal of a previously placed implant and immediate placement of a new implant in the same region, reflecting a combined explantation and reimplantation service. Nationally, this code matters because it defines billing and coverage categories for a specific foot stabilization intervention that can affect surgical authorization, hospital- or ambulatory-based reimbursement, and post-operative benefits.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for the procedure, information on typical sites of service, and the scope of services represented by the code. The publication summarizes common modifiers and associated billing considerations where provided and identifies gaps when input data are not available.
This summary equips clinicians, coding staff, and policy analysts with a clear description of the service captured by CPT code 0511T, the expected care setting, and payer coverage scope addressed in the national discussion. Data not available in the input is noted where relevant in later sections.
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Billing Code Overview
CPT code 0511T describes a surgical procedure in which a physician removes an implant previously attached to soft tissues between the ankle and heel bones to treat hyperpronation of the foot and then places a new implant in the same region. This procedure addresses implant-related management of foot alignment and mechanical correction for symptomatic hyperpronation.
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Service type: Surgical implant removal and replacement for foot stabilization
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Typical site of service: Ambulatory surgery center or hospital operating room