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Medicare AdvantageCoverageMedium impact

MA12.009a, Cosmetic Procedures

Independence Blue Cross·Plastic Surgery, Dermatology, Ophthalmology +2 more·Medical Policy
Effective date
Feb 20, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

Medicare Advantage policy MA12.009a for Cosmetic Procedures has been revised and reissued, effective February 20, 2025. This is a very recent update that may affect coverage determinations and billing requirements for cosmetic procedures under MA plans.

Action Required

Action needed
Before February 20, 2025: Billing team must review the full MA12.009a Cosmetic Procedures policy at the provided URL to understand specific coverage changes. Update billing workflows and prior authorization requirements for cosmetic procedures as outlined in the revised policy. Verify coverage criteria before submitting claims to avoid denials.