High impact
Stereolithographic Models and Implants (CPB 0613, reviewed 2026-09-03)
Aetna·Identified Oct 4, 2026
CPT 21172, in plain terms, covers Surgical reconstruction of the upper and lower eyelids on the outer side of the eye socket area. CPT 21172 is referenced in 1 tracked payer policy change from Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 21172 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.
Official descriptor: CPT 21172 on AAPC
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