D17.0 Insurance Policy Changes

ICD-10 D17.0 is officially defined as "Benign lipomatous neoplasm of skin and subcutaneous tissue of head, face and neck." code D17.0 is referenced in 6 tracked payer policy changes from Independence Blue Cross and Blue Cross & Blue Shield of Mississippi. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for code D17.0 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Independence Blue Cross · Effective Oct 1, 2025Medium impact
11.08.03n, Lipectomy and Liposuction
Independence Blue Cross reissued policy 11.08.03n on lipectomy and liposuction, removing ICD-10 code E88.1 (Lipodystrophy, not elsewhere classified) effective 10/01/2025. The policy clarifies that these procedures are covered only when medically necessary (e.g., lipoma removal, breast reconstruction, axillary hyperhidrosis treatment) and excludes cosmetic procedures. Billing teams must verify that claims do not use the deleted E88.1 code and ensure proper medical necessity documentation for covered indications.
Independence Blue Cross · Effective Oct 1, 2025Medium impact
11.08.03n, Lipectomy and Liposuction
Independence Blue Cross reissued policy 11.08.03n on lipectomy and liposuction effective 10/01/2025, removing ICD-10 code E88.1 (Lipodystrophy, not elsewhere classified) from the policy. The coverage criteria remain unchanged—cosmetic procedures are excluded, but medically necessary lipectomy and liposuction for specific indications (lipoma removal, breast reconstruction, axillary hyperhidrosis) remain covered. Billing teams must ensure claims no longer reference the deleted diagnosis code.
Blue Cross & Blue Shield of Mississippi · Identified Jun 20, 2026Medium impact
Removal of Benign Skin Lesions and Scars
Cosmetic surgery and any complications of cosmetic surgery are not eligible for coverage, including any operative procedure or portion of one intended solely to improve physical appearance. Removal of seborrheic keratoses, sebaceous (epidermoid) cysts, nevi, papillomas and viral warts (excluding condyloma acuminatum) is medically necessary only when the lesion is symptomatic or has objective signs or symptoms listed in the policy, such as itching, burning, irritation, significant change in color or size or bleeding, physical evidence of inflammation, obstruction of an orifice or clinically restricted vision, clinical uncertainty about malignancy, a prior biopsy indicative of malignancy, or recurrent physical trauma that is documented to have occurred. Removal for reasons such as emotional distress, "makeup trapping" or location alone is considered cosmetic and not medically necessary.
Independence Blue Cross · Effective Oct 1, 2025Low impact
MA11.070e, Lipectomy and Liposuction
Independence Blue Cross reissued MA11.070e with a minor code update effective 10/01/2025, deleting ICD-10 diagnosis code E88.1 (Lipodystrophy, not elsewhere classified) from the lipectomy and liposuction policy. This is a routine annual review with no substantive changes to coverage criteria or billing procedures. Billing teams should remove E88.1 from any internal documentation or claim submission logic related to this policy.
Independence Blue Cross · Effective Oct 1, 2025Low impact
MA11.070e, Lipectomy and Liposuction
Independence Blue Cross updated MA11.070e to remove ICD-10 diagnosis code E88.1 (Lipodystrophy, not elsewhere classified) effective 10/01/2025. This is a routine annual code update with no changes to coverage criteria, billing procedures, or medical necessity requirements for lipectomy and liposuction procedures.
Independence Blue Cross · Identified Jun 19, 2026Low impact
MA11.070d, Lipectomy and Liposuction
Independence Blue Cross reissued MA11.070d lipectomy and liposuction policy on 04/30/2025 to communicate the Company's continuing position. The policy clarifies coverage criteria for medically necessary lipectomy and liposuction procedures while maintaining exclusion of cosmetic services. Key clinical guideline added: lipedema reduction surgery must be performed by surgeons experienced in lipedema care per 2021 consensus guidelines.

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FREQUENTLY ASKED QUESTIONS

What insurance policy changes affect code D17.0?

There are 6 tracked policy changes affecting code D17.0, including updates from Independence Blue Cross, Blue Cross & Blue Shield of Mississippi. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for code D17.0?

Payers that have issued tracked updates for code D17.0 include: Independence Blue Cross, Blue Cross & Blue Shield of Mississippi.

How do I get notified when code D17.0 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to code D17.0. You will get an email when new policy changes reference this code: daily or weekly, your choice, on every plan.

Why do payers change policies for code D17.0?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

All billing codes J3590 C9399 J3490 99215 99213 99202

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11.08.03n, Lipectomy and Liposuction

11.08.03n, Lipectomy and Liposuction

Removal of Benign Skin Lesions and Scars

MA11.070e, Lipectomy and Liposuction

MA11.070e, Lipectomy and Liposuction

MA11.070d, Lipectomy and Liposuction

What insurance policy changes affect code D17.0?

Which payers have updated policy for code D17.0?

How do I get notified when code D17.0 policy changes?

Why do payers change policies for code D17.0?