21079 Insurance Policy Changes

CPT 21079, in plain terms, covers Making an impression and preparing the area to create a custom intermediate dental prosthetic tooth replacement. CPT 21079 is referenced in 2 tracked payer policy changes from Aetna 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 21079 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 21079 on AAPC