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Cosmetic and Reconstructive Procedures 7.01.11

Excellus BlueCross BlueShield·Plastic Surgery, Dermatology, General Surgery +3 more·Cosmetic / Reconstructive Surgery
Effective date
Sep 18, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Excellus BlueCross BlueShield updated their cosmetic and reconstructive procedures policy effective September 18, 2025, establishing new detailed criteria for determining when procedures are considered reconstructive (covered) versus cosmetic (not covered). The policy provides specific functional deficit requirements and indication-specific criteria for numerous procedures including breast procedures, chest wall deformity corrections, hyperhidrosis treatments, and various skin procedures.

Action Required

Action needed
Before September 18, 2025: Billing team must update prior authorization and coverage verification processes to incorporate the new functional deficit criteria for reconstructive procedures. Create documentation checklists for providers to ensure all required criteria are met before submitting claims. Update billing system rules to flag cosmetic procedures that may qualify as reconstructive if functional deficits are documented. Train staff on the specific indication criteria for each procedure type to avoid claim denials.

Affected Billing Codes

10040
11900
11901
11200
11201
11300
11313
11400
11474
17110
17111
19325
15769
15771
15772
19316
11920
11921
11922
21740
21742
21743
15780
15781
15782
15783
12001
12011
12051
17106
17107
17108
32664
64821
64822
64823
97033
11446
17999
69300
15824
15829
56620
56625
11471
15788
15793
17360
J0591