56620 Insurance Policy Changes

CPT 56620, in plain terms, covers Surgical removal of part of the external female genitalia without removing surrounding lymph nodes or tissue. CPT 56620 is referenced in 2 tracked payer policy changes from Sentara Health Plans and Excellus BlueCross BlueShield. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 56620 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 56620 on AAPC