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MedicaidCoverageMedium impact

Orthognathic Surgery - MEDICAID - SOUTH CAROLINA (New)

Humana·SC · Oral & Maxillofacial Surgery, Dentistry·Medicaid
Effective date
May 25, 2026
We identified it
Jun 24, 2026
Days to comply

Summary

New Medicaid policy establishes comprehensive coverage criteria for orthognathic (corrective jaw) surgery in South Carolina, requiring specific documentation of functional impairments and measurable skeletal deformities. This affects billing for oral and maxillofacial surgical procedures with detailed prior authorization requirements.

Action Required

Action needed
Before May 25, 2026: Billing team and oral surgeons must update prior authorization processes for orthognathic surgery codes to require clinical photographs/dental models, detailed functional impairment documentation, imaging studies, and specific measurements of skeletal deformities (anteroposterior discrepancies of 4mm+, vertical deformities 2+ standard deviations from norms, etc.). Update encounter forms and EMR templates to capture required documentation elements. Claims will be denied without meeting all specified criteria.

Affected Billing Codes

21100
21110
21125
21127
21141
21142
21143
21145
21146
21147
21159
21188
21193
21194
21195
21196
21215
21244
21247