11976 Insurance Policy Changes

CPT 11976, in plain terms, covers Removing an implanted birth control device placed under the skin, typically from the arm. CPT 11976 is referenced in 4 tracked payer policy changes from Maryland Medicaid, Pennsylvania Medicaid (DHS), and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 11976 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 11976 on AAPC