11406 Insurance Policy Changes

CPT 11406, in plain terms, covers Removing a cancerous growth from the trunk or limbs larger than four centimeters, including surrounding healthy tissue. CPT 11406 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 11406 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 11406 on AAPC