11401 Insurance Policy Changes

CPT 11401, in plain terms, covers Removing a skin growth from the trunk or limb with a safety margin, where the total size is between 0.6 and 1 centimeter. CPT 11401 is referenced in 6 tracked payer policy changes from Aetna, Providence Health Plan, and 2 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 11401 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 11401 on AAPC