C7566 Fuse finger joints w/grafts

Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts)

Payer policies and prior authorization for C7566

Payer coverage policies that name C7566

C7566 appears in 1 coverage policy from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaDistal Interphalangeal (DIP), Metacarpophalangeal (MCP) and Proximal Interphalangeal (PIP) Joint Implants (0798)listed, no stanceFeb 24, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • AZ: $2022.01 (asc), effective Oct 1, 2026
  • ND: $2126.56 (physician, facility), effective Aug 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

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.