High impact
AB2026-03-001 Updates and new information
Capital Blue Cross·Effective May 1, 2026
CPT 24164, in plain terms, covers Surgical removal of an artificial replacement that was previously implanted in place of the upper arm bone's outer knob. CPT 24164 is referenced in 1 tracked payer policy change from Capital Blue Cross. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 24164 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.
Official descriptor: CPT 24164 on AAPC
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