13152 Insurance Policy Changes

CPT 13152, in plain terms, covers Repairing a complex wound on the face, neck, ears, or lips that measures between 2.6 and 7.5 centimeters. CPT 13152 is referenced in 4 tracked payer policy changes from Health Net and Blue Cross & Blue Shield of Mississippi. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 13152 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 13152 on AAPC