21195 Insurance Policy Changes

CPT 21195, in plain terms, covers Surgical reconstruction of the lower jawbone performed without using metal plates or screws to hold it in place. CPT 21195 is referenced in 6 tracked payer policy changes from Blue Cross Blue Shield of Rhode Island and Humana. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 21195 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 21195 on AAPC