21240 Insurance Policy Changes

CPT 21240, in plain terms, covers Surgical repair or rebuilding of the joint that connects your lower jaw to your skull. CPT 21240 is referenced in 2 tracked payer policy changes from Excellus BlueCross BlueShield and Humana. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 21240 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 21240 on AAPC