23430 Insurance Policy Changes

CPT 23430, in plain terms, covers Surgery to fix a torn or damaged biceps tendon in the shoulder area. CPT 23430 is referenced in 4 tracked payer policy changes from Providence Health Plan. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 23430 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 23430 on AAPC