21282 Insurance Policy Changes

CPT 21282, in plain terms, covers A procedure to tighten or reposition the outer corner of the eye to improve its position or function. CPT 21282 is referenced in 4 tracked payer policy changes from UnitedHealthcare, Capital Blue Cross, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 21282 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 21282 on AAPC