Question: Is bunion surgery medically necessary?

You may need bunion surgery if you have severe foot pain that happens even when walking or wearing flat, comfortable shoes. Surgery may also be needed when chronic big toe inflammation and swelling isnt relieved with rest or medicines.

Is bunion surgery considered medically necessary?

Note: A bilateral bunionectomy done at the same time generally is not deemed medically necessary unless extenuating circumstances are present. Aetna considers bony correction bunionectomy not medically necessary for the following indications: Foot ulcer(s) secondary to peripheral vascular disease; or.

Is bunion surgery covered under insurance?

In most cases, yes. We will let you know if your insurance carrier covers your surgery or partially covers your bunion surgery. What exactly is a bunion? A bunion is not an abnormal growth on the side of your foot, but a mal-alignment of your big toe joint.

Do Most insurances cover bunion surgery?

Your insurance will almost always prefer that you use providers of their choice, but that doesnt mean you are required to do so. Your health should always be your primary concern if at all possible. Medicare will typically cover foot care, including bunion surgery as long as it is considered medically necessary.

Can you live with bunions without surgery?

Bunions are permanent without surgery, but surgery isnt always necessary. In general, bunions need surgery if the pain is severe and conservative treatments dont keep bunions from getting worse, or if its affecting your activities or causing other foot concerns.

Can I get disability for bunion surgery?

Generally speaking, VA rates bunions according to 38 CFR § 4.71a, Schedule of Ratings – Musculoskeletal System, Diagnostic Code 5280. The rating criteria are as follows: 10% – operated with resection of metatarsal head. 10% – severe, if equivalent to amputation of great toe.

When should I see a doctor about bunions?

Although bunions often require no medical treatment, see your doctor or a doctor who specializes in treating foot disorders (podiatrist or orthopedic foot specialist) if you have: Ongoing big toe or foot pain. A visible bump on your big toe joint. Decreased movement of your big toe or foot.

Is bunion a form of arthritis?

Bunions might be associated with certain types of arthritis, particularly inflammatory types, such as rheumatoid arthritis.

Will bunion grow back after surgery?

When bunions become severe, painful, or interfere with walking, surgery can be performed to realign the bones. Unfortunately, for many patients, bunions gradually return after surgery -- previous studies have reported recurrence rates of up to 25 percent.

When is a bunion bad enough for surgery?

Why might your doctor recommend bunion surgery? Your doctor may suggest surgery if: You have tried other treatment and it has not worked to relieve your pain. You have severe pain or a severely deformed foot that prevents you from doing your daily activities.

How do I know if my bunion needs surgery?

Why might I need bunion surgery? You may need bunion surgery if you have severe foot pain that happens even when walking or wearing flat, comfortable shoes. Surgery may also be needed when chronic big toe inflammation and swelling isnt relieved with rest or medicines.

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