11404 Insurance Policy Changes

CPT 11404, in plain terms, covers Removing a skin growth from the trunk or extremity that's 3.1 to 4 centimeters wide, including surrounding healthy tissue. CPT 11404 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 11404 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 11404 on AAPC