Does S2117 require prior authorization?

Yes, S2117 requires prior authorization (high confidence). At least one active policy explicitly requires prior authorization.

What is the Medicare reimbursement rate for S2117?

Medicare facility rate: N/A. Non-facility rate: N/A. Work RVU: 0.00.

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`S2117`, Arthroereisis, subtalar

HCPCS/CPT

Prior Authorization

Prior Auth Required

At least one active policy explicitly requires prior authorization (high confidence)

Medicare Pricing

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

Documentation Required

No specific documentation requirements (medical records, test results, or clinical notes) are stated in this Clinical Policy Bulletin.
Providers must use the most appropriate codes as of the effective date of the submission; claims for services not accompanied by covered codes under this Coverage Policy will be denied as not covered.

Coverage determinations require consideration of: (1) the terms of the applicable benefit plan document in effect on the date of service; (2) any applicable laws/regulations; (3) any relevant collateral source materials including Coverage Policies; and (4) the specific facts of the particular situation. (Policy statement under "Instructions for Use")

Key Coverage Criteria

None — Subtalar joint implantation (subtalar arthroereisis/extraosseous talotarsal stabilization) is considered experimental, investigational or unproven for ANY indication.
Explicit examples of indications called out as NOT supported: "rigid or flexible pes planus (i.e., flatfoot)"
Explicit examples of indications called out as NOT supported: "posterior tibial tendon dysfunction"
Explicit examples of indications called out as NOT supported: "talotarsal joint subluxation/dislocation"
Subtalar arthroereisis for the treatment of pes planus (flatfoot) or other deformities in adults and children is considered investigational.

10 Active Policies

ANTHEM-SURG.00104, Extraosseous Subtalar Joint Implantation and Subtalar Arthroereisis

EVICORE-HPLAN-CIGNA-AFCE721BA4F3, Cigna Comprehensive Code List - Effective 03/07/2026

EVICORE-HPLAN-CIGNA-FE6FBAF45728, Cigna Commercial Joint Surgery Code List - Effective 03/07/2026

AETNA-CPB-0669, Subtalar Implant for Foot Deformity

BCBSIL-SUR705.027, Subtalar Arthroereisis

BCBSMT-SUR705.027, Subtalar Arthroereisis

BCBSNM-SUR705.027, Subtalar Arthroereisis

BCBSOK-SUR705.027, Subtalar Arthroereisis

REGENCE-SUR144, Subtalar Arthroereisis

CIGNA-0486, Subtalar Joint Implantation (Subtalar Arthroereisis)

`S2117`, Arthroereisis, subtalar

Prior Authorization

Medicare Pricing

Documentation Required

Key Coverage Criteria

10 Active Policies

Related Codes

Have a follow-up question?

S2117, Arthroereisis, subtalar

Prior Authorization

Medicare Pricing

Documentation Required

Key Coverage Criteria

10 Active Policies

Related Codes

Have a follow-up question?

`S2117`, Arthroereisis, subtalar