11057 CPT® code: payer coverage and prior authorization1 of 1 payer prior-auth lists that name 11057 require prior authorization or set conditions: Blue Cross and Blue Shield of Texas.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Blue Cross and Blue Shield of Texas | Texas PA exemption (gold card), outpatient, fully insured | TX | prior auth required | Gold-card exemption available | Jul 1, 2026 | BCBSTX Outpatient Prior Authorization Exemption Clinical Guidelines (max units, PA exempt date range) |
11057 appears in 8 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross Blue Shield of Massachusetts, Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Bunionectomy (0629) | listed, no stance (range 11055-11057) | Sep 11, 2026 | payer document |
| Aetna | Routine Foot Care (0046) | covered if criteria are met | Apr 7, 2026 | payer document |
| Aetna | Skin and Soft Tissue Substitutes (0244) | not covered (range 10040-19499) | Jul 29, 2026 | payer document |
| Anthem | Foot Care Services (CG-MED-92) | covered if criteria are met (range 11055-11057) | Nov 6, 2025 | payer document |
| Blue Cross & Blue Shield of Mississippi | Removal Of Benign Skin Lesions And Scars (L.7.01.412) | covered if criteria are met | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Foot Care and Nail Debridement | not covered | Jan 1, 2023 | payer document |
| Blue Cross Blue Shield of Massachusetts | Routine foot care and debridement of toenails (385) | listed, no stance | payer document | |
| Premera Blue Cross | Routine Foot Care Services | listed, no stance | Feb 9, 2026 | payer document |
From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.