What insurance policy changes affect CPT 17111?

There are 7 tracked policy changes affecting CPT 17111, including updates from Aetna, Excellus BlueCross BlueShield, Providence Health Plan. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 17111?

Payers that have issued tracked updates for CPT 17111 include: Aetna, Excellus BlueCross BlueShield, Providence Health Plan, Humana, Blue Cross & Blue Shield of Mississippi.

How do I get notified when CPT 17111 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 17111. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for CPT 17111?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

17111 — Removing or destroying benign skin growths when there are more than 15 lesions treated.: Insurance Policy Changes

17111 Insurance Policy Changes

CPT 17111, in plain terms, covers Removing or destroying benign skin growths when there are more than 15 lesions treated. CPT 17111 is referenced in 7 tracked payer policy changes from Aetna, Excellus BlueCross BlueShield, and 3 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 17111 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

High impact

Cosmetic and Reconstructive Procedures 7.01.11

Excellus BlueCross BlueShield·Effective Sep 18, 2025

Excellus BlueCross BlueShield updated their cosmetic and reconstructive procedures policy effective September 18, 2025, establishing new detailed criteria for determining when procedures are considered reconstructive (covered) versus cosmetic (not covered). The policy provides specific functional deficit requirements and indication-specific criteria for numerous procedures including breast procedures, chest wall deformity corrections, hyperhidrosis treatments, and various skin procedures.

17111 Insurance Policy Changes

Phototherapy for Acne (CPB 0656, reviewed 2025-10-03)

Cosmetic and Reconstructive Procedures 7.01.11

Special Alert August 2025 - Benign Skin Lesion Removal Billing Guidelines

Special Alert August 2025 - Benign Skin Lesion Removal Billing Guidelines

Cosmetic and Reconstructive Surgery - Medicare Advantage (Revised)

Cantharidin (Ycanth) (CPB 1051, reviewed 2025-12-23)

Removal of Benign Skin Lesions and Scars