11420 Insurance Policy Changes

CPT 11420, in plain terms, covers Removing a benign skin growth from the head, face, neck, or trunk with margins, up to half a centimeter. CPT 11420 is referenced in 5 tracked payer policy changes from Aetna, Providence Health Plan, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 11420 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 11420 on AAPC