21242 Insurance Policy Changes

CPT 21242, in plain terms, covers Surgery to rebuild or repair the joint where your lower jaw connects to your skull. CPT 21242 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 21242 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 21242 on AAPC