What insurance policy changes affect CPT 21086?

There are 8 tracked policy changes affecting CPT 21086, including updates from Humana, Blue Cross & Blue Shield of Mississippi. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 21086?

Payers that have issued tracked updates for CPT 21086 include: Humana, Blue Cross & Blue Shield of Mississippi.

How do I get notified when CPT 21086 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 21086. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for CPT 21086?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

21086 — Making and fitting an artificial ear that attaches to the skin around where your natural ear would be.: Insurance Policy Changes

21086 Insurance Policy Changes

CPT 21086, in plain terms, covers Making and fitting an artificial ear that attaches to the skin around where your natural ear would be. CPT 21086 is referenced in 8 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 21086 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Medium impact

Prosthetics

Blue Cross & Blue Shield of Mississippi·Identified Jun 20, 2026

BCBS Mississippi updated their prosthetics medical policy (L.1.04.401) with comprehensive coverage guidelines for surgical and nonsurgical prosthetic devices. This is a fresh 1-day-old policy that defines covered prosthetic appliances including artificial joints, post-mastectomy prostheses, cardiac pacemakers, artificial limbs, and speech aids, while explicitly excluding items like dentures, hearing aids, and penile prostheses.

21086 Insurance Policy Changes

Prosthetics - MEDICAID - INDIANA (New)

Prosthetics - MEDICAID - FLORIDA (New)

Prosthetics - MEDICAID - VIRGINIA (Revised)

Prosthetics - MEDICAID - SOUTH CAROLINA (Revised)

Prosthetics - MEDICAID - MICHIGAN (Revised)

Prosthetics - MEDICAID - OKLAHOMA (Revised)

Prosthetics - MEDICAID - KENTUCKY (New)

Prosthetics