11400 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 11400

Payer coverage policies that name 11400

11400 appears in 9 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross Blue Shield of Massachusetts, Centene.

PayerPolicyRole in policyReviewedDocument
AetnaActinic Keratoses Treatments (0567)covered if criteria are metAug 21, 2026payer document
AetnaBenign Skin Lesion Removal (0633)covered if criteria are met (range 11400-11446)Sep 9, 2026payer document
AetnaCosmetic Surgery and Procedures (0031)covered if criteria are met (range 11400-11446)Jun 25, 2026payer document
AetnaLymphangioma and Infantile Hemangioma (0817)covered if criteria are met (range 11400-11446)Dec 3, 2025payer document
AetnaSkin and Soft Tissue Substitutes (0244)not covered (range 10040-19499)Jul 29, 2026payer document
AnthemTreatment of Keloids and Scar Revision (CG-SURG-31)covered if criteria are met (range 11400-11446)May 14, 2026payer document
Blue Cross & Blue Shield of MississippiRemoval Of Benign Skin Lesions And Scars (L.7.01.412)covered if criteria are metpayer document
Blue Cross Blue Shield of MassachusettsBenign Skin Lesions (707)covered if criteria are metpayer document
CenteneCosmetic and Reconstructive Procedures Reference Number: CP.MP.31 (CP.MP.31)covered if criteria are metAug 1, 2026payer document

Medicaid fee-for-service

  • AZ: $52.16 (asc), effective Oct 1, 2026
  • CO: $100.72 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $126.91 (pediatric_surgery, pediatric surgeon), effective Jan 1, 2025
  • IL: $56.41 (practitioner), effective Apr 1, 2024
  • IN: $65.52 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $225.00 (asc, facility), effective Aug 1, 1982
  • KY: $93.06 (asc), effective Jan 1, 2026
  • LA: $182.30 (asc), effective Jul 1, 2012
  • MA: $78.53 (asc), effective May 1, 2026
  • MS: $72.71 (comprehensive, facility), effective Oct 1, 2025
  • ND: $92.04 (physician, facility), effective Aug 1, 2026
  • NE: $54.12 (physician, facility), effective Jul 1, 2026
  • NY: $33.26 (nurse_practitioner, facility), effective Jul 1, 2026
  • OH: $47.22 (physician, facility), effective Jan 1, 2024
  • OK: $84.90 (asc), effective Jan 1, 2026
  • TX: $77.79 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $66.26 (medical, facility), effective Jul 1, 2026
  • VT: $549.84 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $46.25 (physician, facility), effective Jul 1, 2026
  • WY: $313.16 (outpatient_hospital_apc, Ambulatory Surgical Centers), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.