10 commercial payer policies list 28890. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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10 policies from 7 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 28890 |
|---|---|---|
| Cigna Commercial Joint Surgery Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Plantar Fasciitis Treatments | May 15, 2026 | Not covered |
| Policy | Effective | Status of 28890 |
|---|---|---|
| Extracorporeal Shock-Wave Therapy for Musculoskeletal Indications and Soft Tissue Injuries | Sep 13, 2023 | Covered |
| Plantar Fasciitis Treatments |
| Apr 26, 2023 |
| Covered |
| Policy | Effective | Status of 28890 |
|---|---|---|
| Extracorporeal Shock Wave Therapy | Jul 1, 2026 | Not covered |
| Policy | Effective | Status of 28890 |
|---|---|---|
| Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions and Soft Tissue Indications | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 28890 |
|---|---|---|
| Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions and Soft Tissue Indications | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 28890 |
|---|---|---|
| Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions and Soft Tissue Indications | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 28890 |
|---|---|---|
| Orthopedic Procedures, Devices, and Products | Not recorded | Covered |