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MedicaidCoverageMedium impact

Breast Procedures - MEDICAID - INDIANA (New)

Humana·IN · Plastic Surgery, General Surgery, Oncology·Medicaid
Effective date
Jan 1, 2025
We identified it
Jun 24, 2026
Days to comply

Summary

This is a new Humana Medicaid policy for Indiana establishing coverage criteria for breast reconstruction procedures, implant removal, and related surgeries. The policy defines specific medical necessity requirements and covered scenarios for breast procedures under Indiana Medicaid.

Action Required

Action needed
By January 1, 2025: Billing team must update systems to reflect Humana Indiana Medicaid coverage criteria for breast procedures. Ensure prior authorization processes align with new medical necessity requirements including trauma within 12 months, medically necessary mastectomy/lumpectomy, and specific complications like Baker grade III/IV capsular contracture. Update encounter forms to capture required documentation for covered indications. Claims not meeting these criteria will be denied.

Affected Billing Codes

15877
19316
19325
19328
19330
19342
19350
19355
19371
19380
19396
19499
C1789