What insurance policy changes affect CPT 21110?

There are 13 tracked policy changes affecting CPT 21110, including updates from Humana, Aetna, Independence Blue Cross. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 21110?

Payers that have issued tracked updates for CPT 21110 include: Humana, Aetna, Independence Blue Cross.

How do I get notified when CPT 21110 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 21110. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for CPT 21110?

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.

21110 — Securing teeth together temporarily using wires or other devices to hold them in proper position during healing.: Insurance Policy Changes

21110 Insurance Policy Changes

CPT 21110, in plain terms, covers Securing teeth together temporarily using wires or other devices to hold them in proper position during healing. CPT 21110 is referenced in 13 tracked payer policy changes from Humana, Aetna, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 21110 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Medium impact

11.00.06w, Treatment of Obstructive Sleep Apnea (OSA) and Primary Snoring

Independence Blue Cross·Effective Jan 1, 2026

Independence Blue Cross reissued Policy 11.00.06w for treatment of obstructive sleep apnea and primary snoring with no substantive changes to coverage criteria. However, six new HCPCS codes (C8007, C8008, C8009, C8011, C8012, C8013) for hypoglossal nerve neurostimulator procedures have been added as medically necessary, effective retroactively to January 1, 2026. Additionally, hypoglossal nerve stimulation is now covered for pediatric patients ages 13-18 with OSA and Down syndrome.

21110 Insurance Policy Changes

Orthognathic Surgery - MEDICAID - VIRGINIA (New)

Stereolithographic Models and Implants (CPB 0613, reviewed 2026-09-03)

Orthognathic Surgery - MEDICAID - FLORIDA (New)

Obstructive Sleep Apnea and Other Sleep Related Breathing Disorders Surgical Treatments - Medicare Advantage (Revised)

Orthognathic Surgery - MEDICAID - SOUTH CAROLINA (New)

Orthognathic Surgery - Medicare Advantage (Revised)

MA05.047p, Treatment of Obstructive Sleep Apnea (OSA) and Primary Snoring in Adults

11.00.06w, Treatment of Obstructive Sleep Apnea (OSA) and Primary Snoring

Intra-oral Appliances for Headaches and Trigeminal Neuralgia (CPB 0688, reviewed 2025-12-29)

MA05.047o, Treatment of Obstructive Sleep Apnea (OSA) and Primary Snoring in Adults

MA05.047o, Treatment of Obstructive Sleep Apnea (OSA) and Primary Snoring in Adults

11.00.06v, Treatment of Obstructive Sleep Apnea (OSA) and Primary Snoring

11.00.06v, Treatment of Obstructive Sleep Apnea (OSA) and Primary Snoring