What insurance policy changes affect CPT 11400?

There are 7 tracked policy changes affecting CPT 11400, including updates from Aetna, Excellus BlueCross BlueShield, Providence Health Plan. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 11400?

Payers that have issued tracked updates for CPT 11400 include: Aetna, Excellus BlueCross BlueShield, Providence Health Plan, Humana, Blue Cross & Blue Shield of Mississippi.

How do I get notified when CPT 11400 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 11400. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for CPT 11400?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

11400 — Removal of a skin growth from the trunk or extremity, including a small safety margin around it.: Insurance Policy Changes

11400 Insurance Policy Changes

CPT 11400, in plain terms, covers Removal of a skin growth from the trunk or extremity, including a small safety margin around it. CPT 11400 is referenced in 7 tracked payer policy changes from Aetna, Excellus BlueCross BlueShield, and 3 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 11400 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

High impact

Cosmetic and Reconstructive Procedures 7.01.11

Excellus BlueCross BlueShield·Effective Sep 18, 2025

Excellus BlueCross BlueShield updated their cosmetic and reconstructive procedures policy effective September 18, 2025, establishing new detailed criteria for determining when procedures are considered reconstructive (covered) versus cosmetic (not covered). The policy provides specific functional deficit requirements and indication-specific criteria for numerous procedures including breast procedures, chest wall deformity corrections, hyperhidrosis treatments, and various skin procedures.

11400 Insurance Policy Changes

OfficeLink Updates - October 2025 notices and reminders (PDF)

Cosmetic and Reconstructive Procedures 7.01.11

Special Alert August 2025 - Benign Skin Lesion Removal Billing Guidelines

OfficeLink Updates - August 2025 notices and reminders (PDF)

Special Alert August 2025 - Benign Skin Lesion Removal Billing Guidelines

Cosmetic and Reconstructive Surgery - Medicare Advantage (Revised)

Removal of Benign Skin Lesions and Scars