21085 Insurance Policy Changes

CPT 21085, in plain terms, covers Making and preparing a custom dental splint used during oral surgery to protect or position teeth and tissues. CPT 21085 is referenced in 2 tracked payer policy changes from Humana 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 21085 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 21085 on AAPC