11720 CPT® code: payer coverage and prior authorization11720 appears in 7 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 | 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 | Nov 6, 2025 | payer document |
| Blue Cross & Blue Shield of Mississippi | Foot Care Services (L.9.01.401) | 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 |
Prior authorization required or conditional in WV.
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.