Medicare AdvantageCoverageMedium impact
MA11.058a, Otoplasty or Non-Surgical External Ear Molding
Independence Blue Cross·Plastic Surgery, ENT (Ear, Nose & Throat), Pediatrics·Medical Policy
Effective date
Sep 3, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.058a for Otoplasty or Non-Surgical External Ear Molding has been reissued and will become effective September 3, 2025. This policy update affects coverage and billing requirements for ear reconstruction and molding procedures under Medicare Advantage plans.
Action Required
Before September 3, 2025: Billing team must review the updated MA11.058a policy for specific changes to otoplasty and ear molding coverage requirements. Access the full policy at the provided URL to identify any new prior authorization requirements, documentation standards, or billing code changes. Update billing procedures and staff training accordingly to ensure compliance with new Medicare Advantage guidelines.