11422 Insurance Policy Changes

CPT 11422, in plain terms, covers Removing a benign skin growth from the head, face, neck, or scalp when the final wound closure is between 1.1 and 2 centimeters. CPT 11422 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 11422 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 11422 on AAPC