Medicare AdvantageCoverageMedium impact
MA11.030h, Reconstructive Breast Surgery
Independence Blue Cross·Plastic Surgery, General Surgery, Oncology·Medical Policy
Effective date
May 28, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.030h for Reconstructive Breast Surgery has been reissued with an effective date of May 28, 2025. This is a policy reissue that may contain updated coverage criteria, prior authorization requirements, or billing guidelines for reconstructive breast surgery procedures.
Action Required
Before May 28, 2025: Billing team must review the complete MA11.030h policy at the provided URL to identify specific changes to coverage criteria, prior authorization requirements, or billing guidelines for reconstructive breast surgery. Update billing system rules and provider documentation requirements based on policy changes. Notify plastic surgeons and relevant providers of any new requirements.