11626 Insurance Policy Changes

CPT 11626, in plain terms, covers Removing a cancerous skin growth larger than four centimeters from the scalp, neck, hands, feet, or genitals, including surrounding healthy tissue margins. CPT 11626 is referenced in 2 tracked payer policy changes from Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 11626 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 11626 on AAPC