Aetna modified CPB 0251 covering dermabrasion, chemical peels, and acne surgery procedures, effective September 26, 2025. Here's what billing teams need to do.

Aetna, a CVS Health company, updated its dermabrasion and chemical peel coverage policy under CPB 0251 in the Aetna clinical policy bulletin system. The change affects CPT codes 15780–15783 for dermabrasion, 15788–15789 and 15792–15793 for chemical peels, and 10040 for acne surgery, among others. If your practice bills these procedures to Aetna members, the covered vs. non-covered line is sharper now — and it matters to your reimbursement.


Quick-Reference Table

Field Detail
Payer Aetna, a CVS Health company
Policy Dermabrasion, Chemical Peels, and Acne Surgery
Policy Code CPB 0251
Change Type Modified
Effective Date September 26, 2025
Impact Level Medium
Specialties Affected Dermatology, Plastic Surgery, Facial Plastic Surgery
Key Action Audit charge capture for CPT 15788, 15792, 17340, and 17360 — Aetna does not cover these codes under this policy

Aetna Dermabrasion and Chemical Peel Coverage Criteria and Medical Necessity Requirements 2025

The core structure of the Aetna dermabrasion and chemical peel coverage policy is a hard split: some procedures are covered when medical necessity criteria are met, and others are flat-out excluded regardless of clinical documentation.

CPT 15780 (total face dermabrasion), 15781 (segmental face), 15782 (regional, other than face), and 15783 (superficial, any site) are all covered — but only when Aetna's selection criteria are satisfied. The same applies to CPT 15789 (chemical peel, facial, dermal) and CPT 15793 (chemical peel, nonfacial, dermal). "Covered if selection criteria are met" is Aetna's language, which means clinical documentation supporting medical necessity has to be in the chart before you submit.

Intralesional injections under CPT 11900 (up to seven lesions) and 11901 (more than seven lesions) are covered for the indications listed in the bulletin. CPT 10040, which covers acne surgery procedures like marsupialization and removal of comedones, cysts, and pustules, is also addressed in this policy — though its coverage group in the data is unlabeled, meaning you should pull the full CPB 0251 document to confirm current criteria before billing.

One thing this policy makes clear: prior authorization requirements may apply depending on the member's specific plan. Aetna plan designs vary. Before submitting claims for dermabrasion or dermal chemical peels, confirm whether prior auth is required for your patient's benefit tier.


Aetna Dermabrasion and Chemical Peel Exclusions and Non-Covered Indications

Four codes are explicitly non-covered under CPB 0251. This is the section that will cause claim denial if your team isn't current.

CPT 15788 (chemical peel, facial, epidermal) and CPT 15792 (chemical peel, nonfacial, epidermal) are both listed as not covered. This is the key distinction from the dermal-level peels. The depth of the peel determines coverage — dermal is covered when criteria are met, epidermal is not. That's a meaningful clinical and billing line.

CPT 17340 (cryotherapy for acne using CO2, slush, or liquid nitrogen) and CPT 17360 (chemical exfoliation for acne) are also excluded. These are procedures that some practices still attempt to bill as medically necessary acne treatments. Aetna says no — and has codified that in CPB 0251.

The real issue here is that epidermal peels and acne-specific cryotherapy or chemical exfoliation sit right at the edge of what looks like it could qualify as medical treatment. Don't let clinical plausibility convince your billing team to try these. The policy is explicit.


Coverage Indications at a Glance

Indication / Procedure Coverage Status Relevant Codes Notes
Dermabrasion, total face Covered (criteria required) CPT 15780 Medical necessity documentation required
Dermabrasion, segmental face Covered (criteria required) CPT 15781 Medical necessity documentation required
Dermabrasion, regional (non-face) Covered (criteria required) CPT 15782 Medical necessity documentation required
+ 11 more indications

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This policy is now in effect (since 2025-09-26). Verify your claims match the updated criteria above.

Aetna Dermabrasion and Chemical Peel Billing Guidelines and Action Items 2025

The effective date for this update is September 26, 2025. If you're reading this after that date, changes are already live. Here's what to do now.

#Action Item
1

Remove CPT 15788 and 15792 from your charge capture for Aetna patients. Epidermal facial and nonfacial chemical peels are not covered. If these codes are in your superbill or charge master for Aetna, pull them out now.

2

Flag CPT 17340 and 17360 in your billing system as non-covered for Aetna. Cryotherapy and chemical exfoliation for acne will deny. A charge capture flag prevents the claim from going out without a clear out-of-pocket notice to the patient first.

3

Confirm prior authorization requirements for dermabrasion billing before scheduling. CPT 15780–15783 and CPT 15789/15793 are covered when criteria are met, but Aetna plan designs vary. Call the payer or check eligibility to confirm whether prior auth is required before the procedure.

+ 4 more action items

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Sample Version Diff Line-by-line changes
Previous VersionCurrent Version
Coverage is considered experimental and investigational for all indicationsCoverage is considered medically necessary when specific criteria are met
Prior authorization is not requiredPrior authorization is required for initial treatment
Documentation must include clinical historyDocumentation must include clinical history
+ 1 more action items

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CPT, HCPCS, and ICD-10 Codes for Dermabrasion, Chemical Peels, and Acne Surgery Under CPB 0251

Covered CPT Codes (When Selection Criteria Are Met)

Code Type Description
11900 CPT Injection, intralesional; up to and including 7 lesions
11901 CPT Injection, intralesional; more than 7 lesions
15780 CPT Dermabrasion; total face
+ 5 more codes

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Not Covered CPT Codes

Code Type Description Reason
15788 CPT Chemical peel, facial; epidermal Not covered for indications listed in CPB 0251
15792 CPT Chemical peel, nonfacial; epidermal Not covered for indications listed in CPB 0251
17340 CPT Cryotherapy (CO2, slush, liquid N2) for acne Not covered for indications listed in CPB 0251
+ 1 more codes

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Key ICD-10-CM Diagnosis Codes

The policy references 107 ICD-10-CM codes. The full list is available in the CPB 0251 document. Confirm that your diagnosis codes align with covered indications before submitting claims for CPT 15780–15783, 15789, or 15793. A covered CPT paired with an out-of-scope ICD-10 will still deny.

If you're not sure how your patient mix maps to the covered indications — especially for scar revision, acne scarring, or dermatologic conditions that could be read as cosmetic — talk to your compliance officer before the September 26 effective date passes.


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