Policy library / 21116 Commercial payer policies listing 21116 5 policies from 5 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Anthem policies listing 21116, with the code’s status in each Policy Effective Status of 21116 Temporomandibular Disorders Clinical Guideline · ANTHEM-CG-SURG-09 Oct 1, 2026 Covered
BCBS Illinois policies listing 21116, with the code’s status in each Policy Effective Status of 21116 Temporomandibular Joint Disorders PayerPolicy · BCBSIL-SUR705.010 Jan 1, 2026 Covered
BCBS Montana policies listing 21116, with the code’s status in each Policy Effective Status of 21116 Temporomandibular Joint Disorders PayerPolicy · BCBSMT-SUR705.010 Jan 1, 2026 Covered
BCBS New Mexico policies listing 21116, with the code’s status in each Policy Effective Status of 21116 Temporomandibular Joint Disorders PayerPolicy · BCBSNM-SUR705.010 Jan 1, 2026 Covered
BCBS Oklahoma policies listing 21116, with the code’s status in each Policy Effective Status of 21116 Temporomandibular Joint Disorders PayerPolicy · BCBSOK-SUR705.010 Jan 1, 2026 Covered