Ankle/foot surgery

Authorization requirements


Is authorization required?

How do I get pre-authorization?

Yes

L&I (State fund):
Utilization Review provided by Qualis

Self-insured:
Contact the employer

Related information on coverage and treatment

L&I has prepared guidelines for the following ankle and foot surgeries:

  1. Fusion to treat non-union or mal-union of a fracture of the ankle, tarsal or metatarsal bones.
  2. Fusion to treat traumatic arthritis secondary to an on-the-job injury.
  3. Reconstruction of the lateral ligaments of the ankle for chronic instability or acute strain/sprain inversion injury.

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