15240 Insurance Policy Changes

CPT 15240, in plain terms, covers Skin graft placement on the face, ear, eyelid, nose, lip, or genitals using a full-thickness graft. CPT 15240 is referenced in 3 tracked payer policy changes from Health Net. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 15240 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 15240 on AAPC