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Medicare AdvantageCoverageMedium impact

MA11.110a, Surgery for Gynecomastia

Independence Blue Cross·Plastic Surgery, General Surgery, Endocrinology·Medical Policy
Effective date
Apr 2, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

Medicare Advantage policy MA11.110a regarding Surgery for Gynecomastia has been reissued and will become effective April 2, 2025. This is a fresh policy update that may contain changes to coverage criteria, prior authorization requirements, or billing guidelines for gynecomastia surgical procedures.

Action Required

Action needed
By April 2, 2025: Billing team must review the complete MA11.110a policy for Surgery for Gynecomastia at the provided URL to identify specific changes to coverage criteria, prior authorization requirements, or billing procedures. Update billing protocols and staff training accordingly for all Medicare Advantage gynecomastia surgery claims.