49591 Insurance Policy Changes

CPT 49591, in plain terms, covers Surgical repair of an abdominal wall opening or defect less than three centimeters using a reduction technique. CPT 49591 is referenced in 6 tracked payer policy changes from Aetna, Providence Health Plan, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 49591 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 49591 on AAPC